Provider Demographics
NPI:1578345435
Name:MARTINEZ, MARIE VELA (LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:VELA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 LONGDRAW DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-3561
Mailing Address - Country:US
Mailing Address - Phone:806-787-9791
Mailing Address - Fax:
Practice Address - Street 1:930 S BELL BLVD STE 201
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3974
Practice Address - Country:US
Practice Address - Phone:806-787-9791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health