Individual
MRS. SUSAN ELIZABETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
317 CHESTNUT ST, BREVARD, NC 28712-3898
(828) 862-3360
(828) 884-2563
Mailing address
317 CHESTNUT ST, BREVARD, NC 28712-3898
(828) 862-3360
(828) 884-2563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27049
NC
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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