Individual
MS. EBONIQUE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2109 N PATTERSON ST STE B, VALDOSTA, GA 31602-2577
(229) 232-4833
(877) 343-0538
Mailing address
805 HARMON DR APT B6, VALDOSTA, GA 31601-8477
(229) 232-9061
(877) 343-0538
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001168
001168
GA
Enumeration date
03/15/2011
Last updated
10/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us