Individual
TALESSIA LATAINA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA PEER SUPPORT
Contact information
Practice address
3033 PROJECT AVE, CLEVELAND, OH 44115-3028
(216) 262-6150
Mailing address
3033 PROJECT AVE, CLEVELAND, OH 44115-3028
(216) 262-6150
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005740
OH
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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