Individual
REBECCA BLACKWOOD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3140 N ARIZONA AVE STE 113, CHANDLER, AZ 85225-7167
(480) 497-4040
(480) 497-4041
Mailing address
2700 N CENTRAL AVE STE 1050, PHOENIX, AZ 85004-1217
(602) 266-8402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1038
AZ
Other
Enumeration date
09/17/2019
Last updated
09/22/2021
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