Individual
SHANNON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4869 BUFFALO CREEK DR, EVERGREEN, CO 80439-7511
(720) 383-8225
Mailing address
4869 BUFFALO CREEK DR, EVERGREEN, CO 80439-7511
(720) 383-8225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014269
CO
Other
Enumeration date
11/30/2020
Last updated
01/18/2022
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