Individual
BETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HAMMOND ST, MATTAPOISETT, MA 02739-2602
(508) 758-4817
Mailing address
11 HAMMOND ST, MATTAPOISETT, MA 02739-2602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/14/2012
Last updated
08/14/2012
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