Individual provider · Type 1 NPI

Jeraniqua Shatera Martin

Mental Health Counselor · San Leandro, CA

NPI number 1659925329 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Call (510) 317-1444 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Social Worker 104100000X84912 (CA)
Mental Health Counselor Primary 101YM0800X84912 (CA)

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About NPI 1659925329

Jeraniqua Shatera Martin's National Provider Identifier is 1659925329, issued on Jul 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jul 30, 2019.