Raseline Martin
Counselor in Mesa, AZ. Individual provider (NPI-1).
NPI number1831850486
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1831850486
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Raseline Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | BH6889 | AZ |
Practice location
1910 S Stapley Dr Ste 221Mesa, AZ 85204-6680
Phone 253-330-9604
Mailing address
1910 S Stapley Dr Ste 221Mesa, AZ 85204-6680
Phone 253-330-9604
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All 119 Counselor providers in Mesa · All 13,507 providers in Mesa
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