Individual
JACOB MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9205 W CENTER ST STE 200, MILWAUKEE, WI 53222-4548
(469) 452-9260
Mailing address
9205 W CENTER ST STE 200, MILWAUKEE, WI 53222-4548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
73340
TX
Other
Enumeration date
12/04/2016
Last updated
06/11/2025
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