Nicole Katherine Martin, PPS
Counselor, Mental Health in Lancaster, CA. Individual provider (NPI-1).
NPI number1033463559
StatusActive
Last updated in NPPESNov 6, 2012
Details
- NPI
- 1033463559
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Katherine Martin
- Credential
- PPS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2012
- Last updated
- Nov 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
44447 10th St WLancaster, CA 93534-3324
Phone 661-726-2630 · Fax 661-723-3211
Mailing address
44447 10th St WLancaster, CA 93534-3324
Phone 661-726-2630 · Fax 661-723-3211
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