Martica Lourdes Bacallao, Ph.D. LCSW
Counselor, Mental Health in Lumberton, NC. Individual provider (NPI-1).
NPI number1649031022
StatusActive
Last updated in NPPESJun 5, 2026
Details
- NPI
- 1649031022
- Entity type
- Individual (NPI-1)
- Name
- Martica Lourdes Bacallao
- Credential
- Ph.D. LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2024
- Certification date
- Jun 5, 2026
- Last updated
- Jun 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C015288 | NC | Yes |
Other names
- Martica Kraemer (Former Name)
Practice location
900 N Chestnut StLumberton, NC 28358-4854
Phone 910-739-3064
Mailing address
900 N Chestnut StLumberton, NC 28358-4854
Phone 910-739-3064
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