Individual provider · Type 1 NPI
Kimberly Daianna Martin, LAC
Mental Health Counselor · Montclair, NJ
NPI number
1861211906
Active
Practice location
6 Gates Avenue
Montclair, NJ 07042
Mailing address
53 Piaget Ave
Clifton, NJ 07011-1216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00757100 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1861211906
Kimberly Daianna Martin, LAC's National Provider Identifier is 1861211906, issued on Oct 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Montclair, NJ. The record was last updated on Oct 7, 2024.