Individual
KATHERYN A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 E VINE ST, KISSIMMEE, FL 34744-3730
(407) 847-4152
Mailing address
4000 LAKE UNDERHILL RD APT U, ORLANDO, FL 32803-7054
(346) 899-6767
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U6229317201
CIGNA
FL
Enumeration date
03/20/2021
Last updated
03/20/2021
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