Individual
CHARLETTE MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8872 DIAMONDBACK DR, SANTEE, CA 92071-3250
(619) 508-2848
Mailing address
8872 DIAMONDBACK DR, SANTEE, CA 92071-3250
(619) 508-2848
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
CA
103T00000X
Psychologist
Primary
3188
CA
103TS0200X
School Psychologist
3188
CA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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