Individual
ANGIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 GROVEVIEW LN, LA CANADA FLINTRIDGE, CA 91011-2634
(818) 790-2438
Mailing address
1111 SUNVUE PL, 2, LOS ANGELES, CA 90012-1563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012667
IL
101YP2500X
Professional Counselor
2688
CA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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