Individual
ANGELICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 CAMP ST, NEW ORLEANS, LA 70130-4202
(504) 522-4475
Mailing address
7820 SAINT CHARLES AVE # 3F, NEW ORLEANS, LA 70118-3849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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