Individual
BARBARA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215A STEWART PLZ, DUNBAR, WV 25064-3021
(304) 768-5506
(304) 768-5508
Mailing address
180 W SHORT RD, KENNA, WV 25248-7701
(304) 539-4005
(304) 768-5508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1630
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015614
—
WV
Enumeration date
07/17/2015
Last updated
07/17/2015
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