Individual
NIAMH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1630 E MAIN STREET, EL CAJON, CA 92021
(619) 694-8930
Mailing address
1630 E MAIN STREET, EL CAJON, CA 92021
(619) 694-8930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
42291
CA
Other
Enumeration date
10/25/2013
Last updated
06/08/2021
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