Individual
KELSEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MERRIMACK ST, LAWRENCE, MA 01843-1740
(978) 687-1617
Mailing address
360 MERRIMACK ST, LAWRENCE, MA 01843-1740
(978) 687-1617
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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