Individual
LAUREN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 FREEBODY ST, NEWPORT, RI 02840-3575
(503) 708-3381
Mailing address
40 FREEBODY ST, NEWPORT, RI 02840-3575
(503) 708-3381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHC00207
RI
101YM0800X
Mental Health Counselor
Primary
MHC00207
RI
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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