Martin, Jennifer Lee

Martin, Jennifer Lee is an sole proprietor health care provider with primary practice located at 509 Lawrence St Ste 303 , Corpus Christi TX 78401-2573. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Jennifer Lee can be contacted via phone (361) 658-5992.

Contact Information

Primary practice address
509 Lawrence St Ste 303 Corpus Christi TX 78401-2573
Phone: (361) 658-5992
Fax: (361) 992-4655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18899 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3030 Texas

Profile Details

NPI number 1720131444
LBN Legal business name Martin, Jennifer Lee
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 30th, 2007 - about 17 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 1720131444 NPPES
Texas Other 238896 TRICARE

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