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Elena A Martin
Professional Counselor in Ketchikan, Alaska
NPI 1588209225

Elena A Martin is a Professional Counselor based in Ketchikan, AK and is specialized in Professional. Elena A Martin practices in Ketchikan, AK. The NPI Number for Elena A Martin is 1588209225 and holds a License No. 133296 (Alaska).

The current practice location address for Elena A Martin is 68 Willow Cir, Ketchikan, AK and can be reached out via phone at 907-401-2828.

Location: 68 Willow Cir, Ketchikan, AK, 99901-1752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588209225
Provider Name
Elena A Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
68 Willow Cir, Ketchikan, AK, 99901-1752
Phone Number
907-401-2828
Fax Number
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
68 Willow Cir
City
Ketchikan
State
Alaska
Zip
99901-9530
Phone Number
907-401-2828
Fax Number
person
Provider Business Mailing Address Details
Address
68 Willow Cir
City
Ketchikan
State
Alaska
Zip
99901-9530
Phone Number
907-401-2828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
133296 (Alaska)
Definition
Definition to come...
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