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Search › Connecticut › 101YM0800X

Edward Martinez, LCSW

NPI 1770367906 · on the registry since 2023 · sole proprietor

Practice

Address
187 S Canaan Rd
Canaan, CT 06018
Phone
(877) 200-0637
Fax
(860) 945-4282
Organisation at this address
Mc1 Healthcare
Mc2 - Healthcare
Vitality Healthcare Llc
Mountainside Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-21

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 Connecticut