Individual
LISA G. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
255A S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5973
(505) 586-7235
(505) 867-2357
Mailing address
255A S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5973
(505) 586-7235
(505) 867-2357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0122981
NM
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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