Individual
JESSICA TYLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC 1, LMHC
Contact information
Practice address
131 MUGGETT HILL RD APT 3, CHARLTON, MA 01507-1346
(508) 688-5175
Mailing address
4 SCENIC DR, WORCESTER, MA 01602-2224
(508) 688-5175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13501
MA
Other
Enumeration date
09/06/2016
Last updated
04/06/2023
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