Individual
MARTHA TEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
9463 E 52ND AVE, DENVER, CO 80238
(828) 734-6212
(828) 333-5592
Mailing address
9463 E 52ND AVE, DENVER, CO 80238
(828) 734-6212
(828) 333-5592
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102268
—
NC
Enumeration date
12/27/2005
Last updated
10/27/2023
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