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Individual

MRS. DANA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
5841 US 421 S, LILLINGTON, NC 27546-6713
(910) 893-5727
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
106H00000X
Marriage & Family Therapist
Primary
1761
NC

Other

Enumeration date
04/04/2014
Last updated
01/31/2017
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