Individual
CHAMA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
10,408 COUNTY ROAD 267, EARLY, TX 76802
(325) 647-0772
Mailing address
PO BOX 3460, EARLY, TX 76803-3460
(325) 647-0772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68369
TX
Other
Enumeration date
06/03/2013
Last updated
10/09/2015
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