Individual
MRS. PATRICIA MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 946-5411
Mailing address
201 CHESTNUT AVE, PO BOX 352, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 941-1648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC000228
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC000228
PROFESSIONAL LICENSE
PA
Enumeration date
06/03/2010
Last updated
06/03/2010
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