Individual
PRATIKSHA DESAI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
8 PINE TREE TER, FOXFIRE VILLAGE, NC 27281-9711
(910) 261-6331
Mailing address
8 PINE TREE TER, FOXFIRE VILLAGE, NC 27281-9711
(910) 261-6331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14419
NC
101YP2500X
Professional Counselor
Primary
14419
NC
Other
Enumeration date
11/21/2018
Last updated
12/01/2021
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