Individual
MS. PAULA JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW 118991
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167969
CA
101YP2500X
Professional Counselor
Primary
118991
CA
Other
Enumeration date
11/20/2017
Last updated
10/10/2025
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