Individual
JAMISON A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2000
(520) 874-4113
Mailing address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2000
(520) 874-4113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC10618
AZ
101YM0800X
Mental Health Counselor
MH3909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750936
—
AZ
Enumeration date
10/02/2006
Last updated
10/28/2010
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