Individual
KIMBERLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T., MS, C.R.C.
Contact information
Practice address
1045 JAMES ST, BROWNELL, SYRACUSE, NY 13203-2730
(315) 748-1382
Mailing address
1045 JAMES ST, BROWNELL, SYRACUSE, NY 13203-2730
(315) 748-1382
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001120-1
NY
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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