Doctor Name: | JAMES R MARTEL |
NPI Number: | 1487983177 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC-C |
License Number: | CC3876 |
Business Practice Address: | 70 Ossipee Trail East Standish, ME - 040849443 |
Business Phone Number: | 2072331332 |
Business Fax Number: | 2076424312 |
Mailing Address: | Po 634, STANDISH |
State: | ME |
Postal Code: | 04084 |
Phone Number: | 2072331332 |
Fax Number: | 2072331332 |
NPI Enumeration Date: | 12/09/2009 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC3876 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |