Individual
AMBER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 SOQUEL DR STE 600, SOQUEL, CA 95073-2861
(626) 234-5113
Mailing address
719 CAPITOLA AVE APT A, CAPITOLA, CA 95010-2773
(626) 234-5113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
104655
CA
Other
Enumeration date
08/20/2014
Last updated
02/22/2018
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