Individual
ATLANTA DANIELLE ST.MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
24566 ASHLAND DR, LAGUNA HILLS, CA 92653-4332
(949) 416-1095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1380090320
CA
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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