Individual
DR. CARMEN KNUDSON-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21121 NE SHORE DR, FAIRVIEW, OR 97024-6762
(909) 262-7725
Mailing address
21121 NE SHORE DR, FAIRVIEW, OR 97024-6762
(909) 262-7725
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
40993
CA
106H00000X
Marriage & Family Therapist
MFT000876
GA
106H00000X
Marriage & Family Therapist
Primary
T0736
OR
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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