Individual
MS. JESSICA ALYSSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1172 TWIN STACKS DR # 427, DALLAS, PA 18612-8505
(570) 674-1505
(570) 674-8679
Mailing address
260 WATKINS ST, SWOYERSVILLE, PA 18704-2139
(570) 899-8278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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