Individual
MRS. ELAINE A MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA ATRBC LPC
Contact information
Practice address
727 WELSH RD, STE 202, HUNTINGDON VALLEY, PA 19006
(215) 514-2119
(914) 211-9166
Mailing address
PO BOX 425, OTTSVILLE, PA 18942
(610) 847-8183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC000245
PA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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