Individual
MRS. TRACY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TCAC
Contact information
Practice address
3003 HOSPITAL DR, GROUD FLOOR, CHEVERLY, MD 20785-1194
(301) 583-5935
(301) 583-5942
Mailing address
3003 HOSPITAL DR, GROUD FLOOR, CHEVERLY, MD 20785-1194
(301) 583-5935
(301) 583-5942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AOD - TRAINEE
MD
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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