Individual
ELIZABETH A MARTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1711 SPRING AVE NE, CANTON, OH 44714-2349
(330) 454-6800
(330) 588-7176
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2204599
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455826
—
OH
Enumeration date
06/13/2018
Last updated
09/19/2022
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