Individual
MARTINA A DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 PETERKIN AVE, ANCHORAGE, AK 99508-1131
(251) 753-9596
Mailing address
205 E DIMOND BLVD # 251, ANCHORAGE, AK 99515-1909
(251) 753-9596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601014512
—
AK
Enumeration date
10/27/2020
Last updated
10/27/2020
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