Individual
ELENA A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 WILLOW CIR, KETCHIKAN, AK 99901-9530
(907) 401-2828
Mailing address
PO BOX 6752, KETCHIKAN, AK 99901-1752
(907) 401-2828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
133296
AK
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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