Individual provider · Type 1 NPI
Edward Conrado Martinez, LCSW
Mental Health Counselor · Canaan, CT
NPI number
1770367906
Active
Practice location
187 S Canaan Rd
Canaan, CT 06018-2544
Fax (860) 945-4282
Mailing address
110 N Main St
Winsted, CT 06098-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 03-045639 (CT) |
Mental Health Counselor: Definition to come...
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About NPI 1770367906
Edward Conrado Martinez, LCSW's National Provider Identifier is 1770367906, issued on Aug 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canaan, CT. The record was last updated on Aug 21, 2023.