Individual
JANUARY ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC
Contact information
Practice address
4425 SOUTH MOPAC EXPWY, BUILDING 2, SUITE 103, AUSTIN, TX 78735-6710
(512) 638-2682
Mailing address
4425 SOUTH MOPAC EXPWY, BUILDING 2, SUITE 103, AUSTIN, TX 78735
(512) 638-2682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11298
TX
101YM0800X
Mental Health Counselor
Primary
54107
—
104100000X
Social Worker
54107
TX
106H00000X
Marriage & Family Therapist
54107
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/10/2007
Last updated
11/02/2022
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