Individual
CRYSTAL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(267) 861-3685
Mailing address
PO BOX 31, ERNEST, PA 15739-0031
(814) 541-0622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
PA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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