Individual provider · Type 1 NPI

Wanda Stephanie Martinez

Mental Health Counselor · Fullerton, CA

NPI number 1912490772 Active

Practice location

801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846

Fax (714) 680-8233

Mailing address

PO Box 919
Fullerton, CA 92836-0919

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1912490772

Wanda Stephanie Martinez's National Provider Identifier is 1912490772, issued on Jun 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Jul 11, 2019.