Individual
MS. KRISTEN AUBERRY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/MS
Contact information
Practice address
620 EUCLID AVE STE 203, LEXINGTON, KY 40502-6429
(859) 705-8075
Mailing address
620 EUCLID AVE STE 203, LEXINGTON, KY 40502-6429
(859) 705-8075
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
169250
KY
106H00000X
Marriage & Family Therapist
2014-002
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
04/29/2014
Last updated
01/07/2021
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