Organization
MOON MAMA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MARTINEZ LICSW, PMH-C (PSYCHOTHERAPIST/OWNER)
(360) 545-3458
Entity
Organization
Contact information
Practice address
18204 A ST S, SPANAWAY, WA 98387-8327
(360) 545-3458
Mailing address
18204 A ST S, SPANAWAY, WA 98387-8327
(360) 545-3458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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