Individual provider · Type 1 NPI

Mary Catherine Martin, IMFT-S, BCBA, COBA

Mental Health Counselor · Shaker Heights, OH

NPI number 1750721452 Active

Practice location

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XCOBA.00418 (OH)
Marriage & Family Therapist 106H00000XM1300014 (OH)
Mental Health Counselor Primary 101YM0800XF.1900094-SUPV (OH)

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About NPI 1750721452

Mary Catherine Martin, IMFT-S, BCBA, COBA's National Provider Identifier is 1750721452, issued on Jun 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shaker Heights, OH. The record was last updated on Oct 13, 2022.