Organization
MARY MARTIN
Active
Other names
Mary Martin Counseling Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARTIN (LCSW)
(570) 417-2830
Entity
Organization
Contact information
Practice address
400 3RD AVE, SUITE 308, KINGSTON, PA 18704-5816
(570) 417-2830
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0388
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CW014765
PA
Other
Enumeration date
05/12/2011
Last updated
03/28/2013
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