Individual provider · Type 1 NPI

Jacob Anthony Martinez

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1356718654 Active

Practice location

7485 N Palm Ave Ste 103
Fresno, CA 93711-5764

Call (559) 221-8100 Map

Fax (559) 221-8101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA8253973 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356718654

Jacob Anthony Martinez's National Provider Identifier is 1356718654, issued on Aug 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 21, 2015.