Provider Demographics
NPI:1518325711
Name:MARTINEZ-RINK, JOHANNA I
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:I
Last Name:MARTINEZ-RINK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8752 QUARTERS LAKE RD BLDG 9
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-7306
Mailing Address - Country:US
Mailing Address - Phone:225-922-9122
Mailing Address - Fax:
Practice Address - Street 1:8752 QUARTERS LAKE RD BLDG 9
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7306
Practice Address - Country:US
Practice Address - Phone:225-922-9122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health