Individual
SHAYLA R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7715
(202) 724-7666
Mailing address
4310 22ND ST NE, WASHINGTON, DC 20018-3147
(704) 942-4601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00273
DC
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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