Individual provider · Type 1 NPI
Lori Rae Martin, MSW
Mental Health Counselor · Higley, AZ
NPI number
1457486532
Active
Practice location
4301 E. Guadalupe Rd.
Higley, AZ 85296
Fax (480) 813-0258
Mailing address
16843 S 13th Way
Phoenix, AZ 85048-4760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCSW-2874 (AZ) |
Mental Health Counselor: Definition to come...
About NPI 1457486532
Lori Rae Martin, MSW's National Provider Identifier is 1457486532, issued on Feb 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Higley, AZ. The record was last updated on Jul 8, 2007.