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Individual

MS. MOZELLE BARR MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3734 W. VISTA AVE., PHOENIX, AZ 85051
(623) 850-8198
(888) 306-2742
Mailing address
504 S. 5TH AVE., #1427, SAFFORD, AZ 85546
(928) 985-5050
(602) 733-6538

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
P0214763
AZ
101YP1600X
Pastoral Counselor
Primary
AZ
103K00000X
Behavior Analyst
AZ
103K00000X
Behavior Analyst
175L00000X
Homeopath
00012
ZZ

Other

Enumeration date
09/04/2009
Last updated
09/25/2020
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