Individual
TAMMY CHERI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(877) 809-5092
(480) 718-9477
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 974-6721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
252917
KY
1041C0700X
Clinical Social Worker
Primary
LCSW-17502
AZ
Other
Enumeration date
10/29/2012
Last updated
08/24/2020
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