Individual
RITA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A, CCRC
Contact information
Practice address
18205 45TH AVE N STE D, PLYMOUTH, MN 55446-4594
(214) 554-4089
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(214) 554-4089
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203042
TX
Other
Enumeration date
12/20/2017
Last updated
12/29/2023
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