Individual
MRS. LOUISA H MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1908 MICCOSUKEE RD, SUITE 2, TALLAHASSEE, FL 32308-5322
(850) 556-5934
(850) 877-7733
Mailing address
1908 MICCOSUKEE RD, SUITE 2, TALLAHASSEE, FL 32308-5322
(850) 556-5934
(850) 877-7733
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0001295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z5025
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/28/2005
Last updated
07/14/2010
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