Provider Demographics
NPI:1497590715
Name:MARTINEZ, FRANCISCO JR (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:MARTINEZ
Suffix:JR
Gender:M
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 1:2026 SERVAL LN
Mailing Address - Street 2:
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114-5189
Mailing Address - Country:US
Mailing Address - Phone:972-689-6136
Mailing Address - Fax:
Practice Address - Street 1:2306 GUTHRIE RD STE 280
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5952
Practice Address - Country:US
Practice Address - Phone:972-383-9005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95662101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty