Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PRC14710 | DC |
NPI | 1003303447 |
---|---|
Provider Name | Joseph Martinez-Williams |
First Address | Washington, DC 20002-2166 |
Second Address | Washington, DC 20002-2166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2018 |
Last Update Date | 20/04/2018 |