| Anastacia Martinez Lpc Pc | |
|
1225 Cincinnati Ave El Paso TX 79902-2154 | |
| (915) 775-2599 | |
| Not Available |
| Full Name | Anastacia Martinez Lpc Pc |
|---|---|
| Speciality | Counselor |
| Location | 1225 Cincinnati Ave, El Paso, Texas |
| Authorized Official Name and Position | Anastacia Martinez (LPC) |
| Authorized Official Contact | 9157752599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anastacia Martinez Lpc Pc 1225 Cincinnati Ave El Paso TX 79902-2154 Ph: (915) 775-2599 | Anastacia Martinez Lpc Pc 1225 Cincinnati Ave El Paso TX 79902-2154 Ph: (915) 775-2599 |
| NPI Number | 1831494202 |
|---|---|
| Provider Enumeration Date | 01/17/2011 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Medicare PECOS PAC ID | 9335682194 |
|---|---|
| Medicare Enrollment ID | O20240620003718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831494202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Anastacia Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891806527 PECOS PAC ID: 0244773000 Enrollment ID: I20240620003768 |
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