Individual
KATHERINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 PHILADELPHIA AVE, TAKOMA PARK, MD 20912-4210
(240) 292-1719
Mailing address
13366 CLARKSVILLE PIKE STE A, HIGHLAND, MD 20777-9737
(202) 841-2071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC14133
MD
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/23/2017
Last updated
06/20/2024
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