Individual
K'DESHIA ZHANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 635-3800
(405) 604-9689
Mailing address
5517 EVANBROOK TER, OKLAHOMA CITY, OK 73135-1523
(405) 546-8060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10099
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/27/2016
Last updated
06/24/2021
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