Martinez, Nicole Mara

Martinez, Nicole Mara is an sole proprietor health care provider with primary practice located at 465 Central Ave Suite 201, Northfield IL 60093-3045. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Martinez, Nicole Mara can be contacted via phone (847) 686-0090.

Contact Information

Primary practice address
465 Central Ave Suite 201 Northfield IL 60093-3045
Phone: (847) 686-0090
Fax: (847) 686-0090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.008146 Illinois

Profile Details

NPI number 1417398645
LBN Legal business name Martinez, Nicole Mara
Credentials PSYD, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2013
Last updated Jul 16th, 2013 - about 12 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 1417398645 NPPES
Illinois Other 180.008146 LICENSE

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