Provider Demographics
NPI:1487983177
Name:MARTEL, JAMES R (LCPC-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:MARTEL
Suffix:
Gender:M
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO 634
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084
Mailing Address - Country:US
Mailing Address - Phone:207-233-1332
Mailing Address - Fax:207-233-1332
Practice Address - Street 1:70 OSSIPEE TRAIL EAST
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084-9443
Practice Address - Country:US
Practice Address - Phone:207-233-1332
Practice Address - Fax:207-642-4312
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3551101YM0800X
MECC3876101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional