Individual
MISS BRITTANY ANDREA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
482 N ROSEMEAD BLVD STE 103, PASADENA, CA 91107-3001
(323) 250-2670
Mailing address
PO BOX 60607, PASADENA, CA 91116-6607
(323) 250-2670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
98727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98727
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
01/27/2014
Last updated
12/08/2020
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