Ethan Martinez
Ethan Martinez is a Mental Health Counselor in Lockport, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6395 Old Niagara RdLockport, NY 14094-1421
Phone: (716) 345-7066
Fax: (716) 303-7505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1689497778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 6, 2024 |
| Last updated in NPPES | November 6, 2024 |
| Certification date | November 6, 2024 |
| Mailing address | 6395 Old Niagara Rd, Lockport, NY 14094-1421 |
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