Provider Demographics
NPI:1730318338
Name:MARTINEZ-MARTINEZ, MARIA DEL CARMEN (MS, NCC, LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA DEL CARMEN
Middle Name:
Last Name:MARTINEZ-MARTINEZ
Suffix:
Gender:F
Credentials:MS, NCC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9016
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-0016
Mailing Address - Country:US
Mailing Address - Phone:302-893-1349
Mailing Address - Fax:
Practice Address - Street 1:523 CAPITOL TRL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3859
Practice Address - Country:US
Practice Address - Phone:302-893-1349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000472101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health