Individual
NICOLE RENEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5902 31ST AVE APT 203, HYATTSVILLE, MD 20782-2903
(828) 577-2292
Mailing address
5902 31ST AVE APT 203, HYATTSVILLE, MD 20782-2903
(828) 577-2292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9860
MD
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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