Provider Demographics
NPI:1992958706
Name:FRANCO, MARTHA OFELIA (MA, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:OFELIA
Last Name:FRANCO
Suffix:
Gender:F
Credentials:MA, LPC, LCDC
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 220612
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-2612
Mailing Address - Country:US
Mailing Address - Phone:915-533-5552
Mailing Address - Fax:915-533-5553
Practice Address - Street 1:4141 PINNACLE ST
Practice Address - Street 2:STE 209
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1059
Practice Address - Country:US
Practice Address - Phone:915-533-5332
Practice Address - Fax:915-533-5553
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20287101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9213LCOtherBCBS
TX197499001Medicaid