Provider Demographics
NPI:1235848144
Name:MARTINEZ-STAFFORD, FRANCES (LPC)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:MARTINEZ-STAFFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:M
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2903 LAMBROS DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-6705
Mailing Address - Country:US
Mailing Address - Phone:989-488-0628
Mailing Address - Fax:
Practice Address - Street 1:2903 LAMBROS DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-6705
Practice Address - Country:US
Practice Address - Phone:989-488-0628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional