Individual
CIENNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E MAIN ST STE 201, GRASS VALLEY, CA 95945-5853
(530) 273-2244
Mailing address
1520 EUREKA RD, ROSEVILLE, CA 95661-2849
(530) 273-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
04/22/2025
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