Individual
ELIZABETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC
Contact information
Practice address
3550 PARKWOOD BLVD, SUITE A-201, FRISCO, TX 75034-1903
(469) 361-7235
Mailing address
2112 HOULTON LN, PLANO, TX 75025-3025
(469) 361-7235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10280
TX
1041C0700X
Clinical Social Worker
4268
LA
1041C0700X
Clinical Social Worker
Primary
50207
TX
Other
Enumeration date
05/04/2007
Last updated
12/09/2008
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