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Mrs. Hailey Nicole Martinez, PHD,LCPC
Mental Health Counselor in Ammon, Idaho
NPI 1477082246

Hailey Nicole Martinez is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Hailey Nicole Martinez practices in Ammon, ID and has the professional credentials of PHD,LCPC. The NPI Number for Hailey Nicole Martinez is 1477082246 and holds a License No. LCPC-6402 (Idaho).

The current practice location address for Hailey Nicole Martinez is 2705 E 17Th St, Ammon, ID and can be reached out via phone at 208-346-7500.

Location: 2705 E 17Th St, Ammon, ID, 83204-3655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477082246
Provider Name
Hailey Nicole Martinez
Credential
PHD,LCPC
Provider Entity Type
Individual
Gender
Female
Address
2705 E 17Th St, Ammon, ID, 83204-3655
Phone Number
208-346-7500
Fax Number
Provider Enumeration Date
06/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2705 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6601
Phone Number
208-346-7500
Fax Number
person
Provider Business Mailing Address Details
Address
2705 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6601
Phone Number
208-346-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCPC-6402 (Idaho)
Definition
Definition to come...
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