Individual provider · Type 1 NPI

Hailey Nicole Martinez, PhD, LCPC

Mental Health Counselor · Ammon, ID

NPI number 1477082246 Active

Practice location

2705 E 17th St
Ammon, ID 83406-6601

Mailing address

1979 Grandview Ave
Pocatello, ID 83204-3655

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-6402 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1477082246

Hailey Nicole Martinez, PhD, LCPC's National Provider Identifier is 1477082246, issued on Jun 6, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ammon, ID. The record was last updated on Jun 6, 2017.