Individual provider · Type 1 NPI

Stephanie Dianne Martin

Mental Health Counselor · Mesa, AZ

NPI number 1750667796 Active

Practice location

1255 W Baseline Rd, Suite B258
Mesa, AZ 85202-5820

Fax (480) 820-7863

Mailing address

4747 N 7th St, Suite 100
Phoenix, AZ 85014-3653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750667796

Stephanie Dianne Martin's National Provider Identifier is 1750667796, issued on Oct 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Oct 21, 2011.