Individual provider · Type 1 NPI

Diane Watson Martin, LCSW

Mental Health Counselor · Chubbuck, ID

NPI number 1265678387 Active

Practice location

4460 Central Way, Suite 2
Chubbuck, ID 83202-5095

Fax (208) 237-5192

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW726 (ID)

Mental Health Counselor: Definition to come...

15 other providers at this address

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About NPI 1265678387

Diane Watson Martin, LCSW's National Provider Identifier is 1265678387, issued on Dec 18, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chubbuck, ID. The record was last updated on Dec 18, 2008.