Individual provider · Type 1 NPI

Jackelin Liseth Martinez

Mental Health Counselor · Mission Viejo, CA

NPI number 1255851689 Active

Practice location

25402 Pacifica Avenue
Mission Viejo, CA 92691

Call (562) 313-3804 Map

Mailing address

25402 Pacifica Ave
Mission Viejo, CA 92691-3854

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255851689

Jackelin Liseth Martinez's National Provider Identifier is 1255851689, issued on Jun 27, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mission Viejo, CA. The record was last updated on Jun 27, 2017.