Individual
MRS. LAUREL E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4656 BRAMBLETON AVE, ROANOKE, VA 24018-3437
(540) 772-8043
(540) 772-8242
Mailing address
4656 BRAMBLETON AVE, ROANOKE, VA 24018-3437
(540) 772-8043
(540) 772-8242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060670
VALUE OPTIONS
VA
01
—
189284
ANTHEM
VA
01
—
5273757
AETNA
VA
Enumeration date
02/22/2006
Last updated
01/03/2008
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