Individual
MIREYA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12901 N 56TH ST, TEMPLE TERRACE, FL 33617
(813) 361-8137
Mailing address
12901 N 56TH ST, TEMPLE TERRACE, FL 33617-1245
(813) 361-8137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2506
FL
Other
Enumeration date
10/19/2010
Last updated
03/19/2014
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