Individual
MRS. ELISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
(330) 493-8850
Mailing address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
(330) 493-8850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0007967
OH
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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