Provider Demographics
NPI:1619609047
Name:MARTINEZ-WARREN, JUSTIN (MH COUNSELOR)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:MARTINEZ-WARREN
Suffix:
Gender:F
Credentials:MH COUNSELOR
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:MARTINEZ-WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:670 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3763
Mailing Address - Country:US
Mailing Address - Phone:541-600-9760
Mailing Address - Fax:
Practice Address - Street 1:260 E 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3247
Practice Address - Country:US
Practice Address - Phone:541-484-4428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health