Individual provider · Type 1 NPI

Martha Lawson Van Dam, M.S., NCC

Mental Health Counselor · Mary Esther, FL

NPI number 1134537301 Active

Practice location

151 Mary Esther Blvd, Suite 507
Mary Esther, FL 32569-1972

Mailing address

226 Windward Way
Niceville, FL 32578-4328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH15174 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1134537301

Martha Lawson Van Dam, M.S., NCC's National Provider Identifier is 1134537301, issued on Jul 31, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mary Esther, FL. The record was last updated on Feb 5, 2018.