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Individual

CHRISTINA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6767 N WICKHAM RD STE 306, MELBOURNE, FL 32940-2025
(321) 751-1925
(321) 751-9261
Mailing address
6767 N WICKHAM RD STE 306, MELBOURNE, FL 32940-2025
(321) 751-1925
(321) 751-9261

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC007593
GA
101YM0800X
Mental Health Counselor
Primary
MH13369
FL

Other

Enumeration date
12/12/2013
Last updated
07/26/2022
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