Individual
LAWANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
401 E SONTERRA BLVD STE 375, SAN ANTONIO, TX 78258-4321
(757) 867-5811
(757) 384-1581
Mailing address
401 E SONTERRA BLVD STE 375, SAN ANTONIO, TX 78258-4321
(757) 867-5811
(757) 384-1581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
0701006966
VA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
85425
TX
101YP2500X
Professional Counselor
MH13508
FL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
823587210
ENGEDI THERAPY SERVICES, PLLC
VA
Enumeration date
02/18/2013
Last updated
10/09/2022
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