Organization
CAMPOS MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULISSA MARTINEZ LMHC-D, NCC, CASAC (OWNER)
(347) 251-2834
Entity
Organization
Contact information
Practice address
315 USHERS RD STE 210, BALLSTON LAKE, NY 12019-1555
(347) 251-2834
(929) 322-9200
Mailing address
315 USHERS RD STE 210, BALLSTON LAKE, NY 12019-1555
(347) 251-2834
(929) 322-9200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
03/03/2025
Last updated
09/05/2025
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