| Jazmine Desiree Martinez, LMH-A | |
|
1515 E Columbia St, Othello, WA 99344-1846 | |
| (509) 488-5256 | |
| (509) 488-9939 |
| Full Name | Jazmine Desiree Martinez |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1515 E Columbia St, Othello, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649030065 | NPI | - | NPPES |
| MC61515578 | Other | WA | WA. ST. DOH |
| MC61515578 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MC61515578 (Washington) | Primary |
| Entity Name | Columbia Basin Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528316379 PECOS PAC ID: 4486564309 Enrollment ID: O20040209000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Jazmine Desiree Martinez, LMH-A 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 | Jazmine Desiree Martinez, LMH-A 1515 E Columbia St, Othello, WA 99344-1846 Ph: (509) 488-5256 |
Aaron Ross Jones, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St, Suite 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166 | |
Gloria Ochoa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St Ste 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166 | |
Ann Christine Theriault, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St, Othello, WA 99344 Phone: 509-488-5611 | |
Elsie Aileen Garza, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 | |
Dennis Borgman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St Ste 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166 | |
Amanda Kern, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E Main St, Suite 600, Othello, WA 99344 Phone: 509-488-4074 Fax: 509-488-0166 | |
Jessicca Mendoza, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 E Columbia St, Othello, WA 99344 Phone: 509-488-5256 Fax: 509-488-9939 |