Individual
CHERYL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13549 N SANDERS RD, MARANA, AZ 85653
(520) 682-1091
(520) 682-4132
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4560
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCP-11076
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116645
—
AZ
Enumeration date
09/16/2006
Last updated
02/10/2011
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