Individual provider · Type 1 NPI
Amanda Martin, LMHC 19749
Mental Health Counselor · Maitland, FL
NPI number
1508538034
Active
Practice location
711 N Orlando Ave Ste. 203
Maitland, FL 32751
Mailing address
551 Cidermill Place
Lake Mary, FL 32746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH19749 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1508538034
Amanda Martin, LMHC 19749's National Provider Identifier is 1508538034, issued on Oct 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Oct 3, 2021.