Individual
KENDREA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4328 MARAIS RIVER DR, SLIDELL, LA 70461-4610
(856) 419-3673
Mailing address
4328 MARAIS RIVER DR, SLIDELL, LA 70461-4610
(856) 419-3673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5628
LA
Other
Enumeration date
07/14/2022
Last updated
07/20/2022
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