Individual
STEPHANIE DIANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W BASELINE RD, SUITE B258, MESA, AZ 85202-5820
(480) 820-0825
(480) 820-7863
Mailing address
4747 N 7TH ST, SUITE 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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