Crystal Martin
Counselor in San Francisco, CA. Individual provider (NPI-1).
NPI number1154831444
StatusActive
Last updated in NPPESNov 30, 2017
Details
- NPI
- 1154831444
- Entity type
- Individual (NPI-1)
- Name
- Ms. Crystal Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2017
- Last updated
- Nov 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2198 Cayuga AveSan Francisco, CA 94112-4023
Phone 650-784-1567
Mailing address
1216 73rd Ave Apt AOakland, CA 94621-2920
Phone 650-291-4765
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