Individual
ERICA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 GROVE STREET, STE 201, NEW BRITAIN, CT 06053
(860) 612-8613
(860) 294-4766
Mailing address
1 GROVE STREET, STE 201, NEW BRITAIN, CT 06053
(860) 612-8613
(860) 294-4766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2676
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008064335
—
CT
01
—
12802445
CAQH
CT
01
—
5102893
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
07/27/2013
Last updated
06/04/2021
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