Individual
MS. AUDREY MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
204 CLEMENT ST, SAN FRANCISCO, CA 94118-2408
(415) 255-4215
Mailing address
204 CLEMENT ST, SAN FRANCISCO, CA 94118-2408
(415) 255-4215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
40256
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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