Provider Demographics
NPI:1104224534
Name:MARTINEZ-CONTRERAS, JOANN (LPC)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:MARTINEZ-CONTRERAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JOANN
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3607 W ALBERTA RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9667
Mailing Address - Country:US
Mailing Address - Phone:956-867-3856
Mailing Address - Fax:
Practice Address - Street 1:3607 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9667
Practice Address - Country:US
Practice Address - Phone:956-867-3856
Practice Address - Fax:956-258-5693
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R945OtherMEDICARE
TX138708610Medicaid
TX138078611Medicaid