Individual provider · Type 1 NPI
Mozelle Barr Martin, PhD
Pastoral Counselor · Phoenix, AZ
NPI number
1912230178
Active · reactivated Sep 25, 2020
Practice location
3734 W. Vista Ave.
Phoenix, AZ 85051
Fax (888) 306-2742
Mailing address
504 S. 5th Ave., #1427
Safford, AZ 85546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | P0214763 (AZ) |
| Behavior Analyst | 103K00000X | None listed |
| Behavior Analyst | 103K00000X | None listed |
| Homeopath | 175L00000X | 00012 (ZZ) |
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
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About NPI 1912230178
Mozelle Barr Martin, PhD's National Provider Identifier is 1912230178, issued on Sep 4, 2009. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 25, 2020.