Individual provider · Type 1 NPI

Jacqueline Martin

Counselor · San Dimas, CA

NPI number 1912667361 Active

Practice location

762 Cypress St
San Dimas, CA 91773-3505

Call (909) 599-1227 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1912667361

Jacqueline Martin's National Provider Identifier is 1912667361, issued on Dec 27, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Dimas, CA. The record was last updated on Apr 12, 2023.