Jim Martinez, LAC

NPI 1740552272 · on the registry since 2012 · sole proprietor

Practice

Address: 4880 Us Highway 93 S
Kalispell, MT 59901
Phone: (406) 857-2506
Fax: (406) 857-2503
Organisation at this address: Alternative Youth Care
Alternative Youth Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 324500000X
324500000X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana