Individual
MADELINE KELTON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1025 N VICTOR II BLVD STE Q, MORGAN CITY, LA 70380-1349
(985) 791-4228
Mailing address
PO BOX 151, MORGAN CITY, LA 70381-0151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6461
LA
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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