Individual
MRS. HEIDI ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC11840
AZ
101YP2500X
Professional Counselor
Primary
LPC.0012809
CO
Other
Enumeration date
03/19/2007
Last updated
09/20/2022
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