Individual
MS. MARTHA WALTER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1751 OLD PECOS TRAIL, SUITE G, SANTA FE, NM 87505-4706
(505) 989-8199
Mailing address
1751 OLD PECOS TRAIL, SUITE G, SANTA FE, NM 87505-4706
(505) 989-8199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC1977
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00R45L
BCBS OF NM
NM
01
—
NM101518
VALUE OPTIONS
NM
Enumeration date
05/05/2006
Last updated
01/27/2015
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