Individual
SAMANTHA SYBILLA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2305 MONTAUK DR, CROFTON, MD 21114-3241
(618) 789-3589
Mailing address
2305 MONTAUK DR, CROFTON, MD 21114-3241
(618) 789-3589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
81913
TX
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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