Lisa Bower Martinez LPC

NPI 1750438693 - Counselor - 101YM0800X

NPI Details
NPI 1750438693
Gender Female
Enumeration Date 01/04/2007
Last Updated 09/06/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
300 68TH ST SE
GRAND RAPIDS MI, 49548-6927, US
Phone (616) 455-5000
Fax
Business Location
11606 TOPVIEW DR
WILLIAMSBURG MI, 49690-9566, US
Phone (252) 256-1062
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State North Carolina
License Number 4825
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According to our database, Mrs. Lisa Bower Martinez LPC NPI is 1750438693, taxonomy code is 101YM0800X and license number is 4825, license state is located at North Carolina. Lisa Bower Martinez LPC physically located at 300 68th St Se, Grand Rapids MI, 49548-6927. NPI Number Lisa Bower Martinez LPC has the Individual type.

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1750438693 NPI number is provided on an as is basis without warranty of any kind. 1750438693 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Bower Martinez LPC are for informational purposes only.