Individual
MR. MICHAEL ALAN MARTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-6435
(253) 968-2252
(253) 966-1127
Mailing address
8058 LA MESA BLVD, LA MESA, CA 91941-6435
(619) 463-9742
(619) 463-2522
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC20941
CA
Other
Enumeration date
08/27/2008
Last updated
10/01/2019
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