| Bianca N. Martinez, Licensed Marriage And Family Therapist, Inc. | |
|
14448 E Amherst St Moorpark CA 93021-1302 | |
| (626) 344-0552 | |
| (626) 550-4727 |
| Full Name | Bianca N. Martinez, Licensed Marriage And Family Therapist, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14448 E Amherst St, Moorpark, California |
| Authorized Official Name and Position | Bianca N Martinez (CEO/OWNER/THERAPIST/SUPERVISOR) |
| Authorized Official Contact | 6263440552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bianca N. Martinez, Licensed Marriage And Family Therapist, Inc. 14711 Princeton Ave Ste 5-503 Moorpark CA 93021-1457 Ph: (626) 344-0552 | Bianca N. Martinez, Licensed Marriage And Family Therapist, Inc. 14448 E Amherst St Moorpark CA 93021-1302 Ph: (626) 344-0552 |
| NPI Number | 1386412104 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 4981048386 |
|---|---|
| Medicare Enrollment ID | O20240213003933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386412104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Bianca Nicole Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659907038 PECOS PAC ID: 5890139299 Enrollment ID: I20240213004058 |
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