Individual
LAVONNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 BLUE LAGOON DR FL 33126, MIAMI, FL 33126-6002
(804) 247-3611
Mailing address
10751 NATHANIEL VALLEY PATH, HOUSTON, TX 77016-1435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/03/2023
Last updated
08/15/2023
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