Martinez, Lucinda

Martinez, Lucinda is an individual health care provider with primary practice located at 720 14Th Ave , Longview WA 98632-2315. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Martinez, Lucinda can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
720 14Th Ave Longview WA 98632-2315
Phone: (360) 423-0203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG60823070 Washington
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60823070 Washington

Profile Details

NPI number 1750889192
LBN Legal business name Martinez, Lucinda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2018
Last updated Feb 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750889192 NPPES
Washington MEDICAID 2098013

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