Individual provider · Type 1 NPI

Deicy Martinez-Fam, LPC

Mental Health Counselor · Lakewood, NJ

NPI number 1912093956 Active

Practice location

700 Airport Rd
Lakewood, NJ 08701-5907

Fax (732) 364-2253

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37PC00330300 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1912093956

Deicy Martinez-Fam, LPC's National Provider Identifier is 1912093956, issued on Oct 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, NJ. The record was last updated on Jul 8, 2007.