person
Mr. Philip Martinez, LCPC
Professional Counselor in Lisle, Illinois
NPI 1699734632

Philip Martinez is a Professional Counselor based in Lisle, IL and is specialized in Professional. Philip Martinez practices in Lisle, IL and has the professional credentials of LCPC. The NPI Number for Philip Martinez is 1699734632 and holds a License No. 180004364 (Illinois).

The current practice location address for Philip Martinez is 5950 Lincoln Ave, Lisle, IL and can be reached out via phone at 630-541-8930 and via fax at 630-541-8940.

Location: 5950 Lincoln Ave, Lisle, IL, 60532-3104
person
Provider Profile Details
NPI Number
1699734632
Provider Name
Philip Martinez
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
5950 Lincoln Ave, Lisle, IL, 60532-3104
Phone Number
630-541-8930
Fax Number
630-541-8940
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02232842 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5950 Lincoln Ave
City
State
Zip
60532-3104
Phone Number
630-541-8930
Fax Number
630-541-8940
person
Provider Business Mailing Address Details
Address
5950 Lincoln Ave
City
State
Zip
60532-3104
Phone Number
630-541-8930
Fax Number
630-541-8940
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180004364 (Illinois)
Definition
Definition to come...
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