Individual
REBECCA A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
28 SCHOOL ST, RANDOLPH, ME 04346-5146
(207) 629-7025
Mailing address
28 SCHOOL ST, RANDOLPH, ME 04346-5146
(207) 629-7025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3890
ME
Other
Enumeration date
12/15/2011
Last updated
02/08/2012
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