Individual
PAULA DENISE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 AMSTERDAM AVE, TEANECK, NJ 07666-3604
(201) 206-0812
Mailing address
89 AMSTERDAM AVE, TEANECK, NJ 07666-3604
(201) 206-0812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00629600
NJ
101YP2500X
Professional Counselor
PC004209
PA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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