Provider Demographics
NPI:1710319520
Name:MARTELLES, JOSEPH S JR
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:MARTELLES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 WILI PA LOOP
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1280
Mailing Address - Country:US
Mailing Address - Phone:808-249-2121
Mailing Address - Fax:808-242-8920
Practice Address - Street 1:1787 WILI PA LOOP
Practice Address - Street 2:SUITE 7
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1280
Practice Address - Country:US
Practice Address - Phone:808-249-2121
Practice Address - Fax:808-242-8920
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor