Individual provider · Type 1 NPI

Ethan Martinez

Mental Health Counselor · Lockport, NY

NPI number 1689497778 Active

Practice location

6395 Old Niagara Rd
Lockport, NY 14094-1421

Fax (716) 303-7505

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689497778

Ethan Martinez's National Provider Identifier is 1689497778, issued on Nov 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lockport, NY. The record was last updated on Nov 6, 2024.