Individual
AMANDA KATE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2991 SHATTUCK AVE STE 302, BERKELEY, CA 94705-1872
(510) 827-1390
Mailing address
PO BOX 19178, 3630 HIGH STREET, OAKLAND, CA 94619
(510) 827-1390
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
114673
CA
Other
Enumeration date
07/18/2013
Last updated
12/13/2024
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