| Doctor Name: | GERARDO MARTINEZ-ESCOBAR |
| NPI Number: | 1063695393 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | LH60169234 |
| Business Practice Address: | 19707 44th Ave W Ste 101 Lynnwood, WA - 980366740 |
| Business Phone Number: | 4259772560 |
| Business Fax Number: | 4259772561 |
| Mailing Address: | Po Box 34703, SEATTLE |
| State: | WA |
| Postal Code: | 981241703 |
| Phone Number: | 2067640502 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2007 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60169234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |