Ricky Anthony Martin in San Jose - Counselor
Ricky Anthony Martin - NPI 1124292024
Ricky Anthony Martin is a Counselor in San Jose, California. Ricky Anthony Martin practices all healthcare services and medical treatments related to Counselor. The NPI Number for Ricky Anthony Martin is 1124292024. The last update date is 2008-04-22.
Ricky Anthony Martin's current location address is 1281 Fleming Ave, San Jose, California. You can contact this provider via phone number 4082596565. The mailing address for Ricky Anthony Martin is 1281 Fleming Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ricky Anthony Martin |
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Address | 1281 Fleming Ave, San Jose, California |
Phone Number | 4082596565 |
Fax Number | |
Sole Proprietor | N |
Credentials | RRW |
NPI Number Detail
NPI Number | 1124292024 |
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Provider Enumeration Date | 2008-04-22 |
Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
Address | 1281 Fleming Ave |
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City | San Jose |
State | California (CA) |
Post Code | 951273610 |
Phone Number | 4082596565 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Licence No | RW1183 |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Ricky Anthony Martin by the Centers for Medicare & Medicaid Services (CMS)?
The Ricky Anthony Martin has been assigned the NPI (National Provider Identifier) 1124292024. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Ricky Anthony Martin is located?
The Ricky Anthony Martin is situated at the following address: 1281 Fleming Ave, San Jose, CA, 951273610.
What is the Ricky Anthony Martin's specialty and taxonomy code?
The Ricky Anthony Martin's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
When did the Ricky Anthony Martin receive its 1124292024?
The Ricky Anthony Martin was issued its 1124292024 on 2008-04-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Ricky Anthony Martin's details last updated?
The information pertaining to the Ricky Anthony Martin, including its address, specialty, and other details, was most recently updated on 2008-04-22.