Individual
AMANDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC 19749
Contact information
Practice address
711 N ORLANDO AVE STE. 203, MAITLAND, FL 32751
(407) 406-4885
Mailing address
551 CIDERMILL PLACE, LAKE MARY, FL 32746
(407) 406-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19749
FL
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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