Jacqueline Martin, is a
Counselor - Mental Health based in Springfield, Oregon. Jacqueline Martin is licensed to practice in * (Not Available) (license number ) and her current practice location is
180 W B St, Bldg B2, Springfield, Oregon. She can be reached at her office (for appointments etc.) via phone at
(414) 232-6335.
NPI number for Jacqueline Martin is 1508313610 and her current mailing address is 5411 E St, Springfield, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508313610.
Healthcare Provider's Profile
| Full Name | Jacqueline Martin |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 180 W B St, Springfield, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508313610
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 05/13/2025
Medical Identifiers
Medical identifiers for Jacqueline Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508313610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Martin,
5411 E St,
Springfield, OR 97478-6164
Ph: (440) 665-5274 | Jacqueline Martin,
180 W B St, Bldg B2,
Springfield, OR 97477
Ph: (414) 232-6335 |
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