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Mary J Martin
Mental Health Counselor in Port St Lucie, Florida
NPI 1578873865

Mary J Martin is a Mental Health Counselor based in Port St Lucie, FL and is specialized in Mental Health. Mary J Martin practices in Port St Lucie, FL. The NPI Number for Mary J Martin is 1578873865 and holds a License No. MH 13130 (Florida).

The current practice location address for Mary J Martin is 772 Sw Hibiscus St, Port St Lucie, FL and can be reached out via phone at 772-200-1688.

Location: 772 Sw Hibiscus St, Port St Lucie, FL, 34983-8763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578873865
Provider Name
Mary J Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
772 Sw Hibiscus St, Port St Lucie, FL, 34983-8763
Phone Number
772-200-1688
Fax Number
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
772 Sw Hibiscus St
City
Port St Lucie
State
Florida
Zip
34983
Phone Number
772-200-1688
Fax Number
person
Provider Business Mailing Address Details
Address
772 Sw Hibiscus St
City
Port St Lucie
State
Florida
Zip
34983
Phone Number
772-200-1688
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH 13130 (Florida)
Definition
Definition to come...
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