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ANN MARTIN MHRS

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1407100290

Individual Registrant:
 ANN  MARTIN MHRS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9860 MIDDLE CREEK RD  UPPER LAKE, CA 95485-9265 US
Tel: 707-472-2922  Fax: --

Contact information for business:
PO BOX 501  KELSEYVILLE, CA 95451-0501 US
Tel: 707-472-2922  Fax: --

Registration Information:
NPI: 1407100290
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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