John Glen Martinez, LPC | |
1400 Braden St, Jacksonville, AR 72076-3721 | |
(501) 453-5000 | |
Not Available |
Full Name | John Glen Martinez |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1400 Braden St, Jacksonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245618354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1706318 (Arkansas) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | White County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
Mailing Address | Practice Location Address |
---|---|
John Glen Martinez, LPC 2900 Hawkins Dr, Searcy, AR 72143-4802 Ph: (501) 203-0055 | John Glen Martinez, LPC 1400 Braden St, Jacksonville, AR 72076-3721 Ph: (501) 453-5000 |
Amanda Patrice Mills, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2126 N 1st St, Suite F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
Mrs. Tanya Nashel Miller, ADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Jacksonville, AR 72099 Phone: 501-987-7338 Fax: 501-987-8087 | |
J Dawson Williams, D.MIN., LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Fair Oaks Dr, Jacksonville, AR 72076 Phone: 501-837-9723 Fax: 877-775-2230 | |
Rita Jean Masterson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 N 1st St Ste F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
Mrs. Rebecca Williams Jackson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2126 N. 1st Street Suite F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
Mrs. Joanna L. Berry, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 James Street, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
Sheryl Jackson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2126 N 1st St, Suite F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 |