Individual
ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRS
Contact information
Practice address
9860 MIDDLE CREEK RD, UPPER LAKE, CA 95485-9265
(707) 472-2922
Mailing address
PO BOX 501, KELSEYVILLE, CA 95451-0501
(707) 472-2922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
04/19/2026
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