Individual
MS. MIRTA C SANMARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2855
Mailing address
29 CANNONADE DR, MARLBORO, NJ 07746-1937
(732) 303-8043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003650
NY
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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