Individual
MS. MARTHA SAMPLE LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
3813 IRON WORKS RD, REIDSVILLE, NC 27320-8420
(704) 500-2249
Mailing address
3813 IRON WORKS RD, REIDSVILLE, NC 27320-8420
(704) 500-2249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103223
—
NC
Enumeration date
03/20/2007
Last updated
07/08/2007
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