Vanessa Marie Martinez, TCADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jeffersontown, KY
NPI 1669232245 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1669232245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 282011 (KY)
- Practice address
- 1700 Cargo CT
Jeffersontown, KY 40299-1938 - Phone
- (800) 805-6989
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282011 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 282011 | KY | Yes |
Addresses
Primary practice location
1700 Cargo CT
Jeffersontown, KY 40299-1938
Mailing address
2314 Pikes Peak Blvd
Louisville, KY 40214-1160
Phone (270) 243-7609
Other providers in Jeffersontown, KY
- William E Kemper
- Kentucky CVS Pharmacy, L.L.C
- Neil Langschied
- Haley Rose Lautenbach
- M&M Meds Inc
- Maryellen McCarthy
- Julie A Mikesell
- Kandice Makayla Nixon
- Brenda Rodriguez Nowlin
- Karmen Linsey Oliver
All providers in Jeffersontown, KY · Addiction (Substance Use Disorder) Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.