Individual
MRS. RASELINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
(253) 330-9604
Mailing address
1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
(253) 330-9604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
BH6889
AZ
Other
Enumeration date
01/05/2022
Last updated
05/04/2023
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