Individual
KRYSTAL MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 111B, ALEXANDRIA, LA 71303-3000
(318) 792-8448
Mailing address
3404 BALDWIN AVE, ALEXANDRIA, LA 71302-3805
(318) 406-1636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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