ELISABETH MARTIN

VAN NUYS, CA
NPI1003211236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-10-30
Last Update Date2014-10-30
Business Address
-- ELISABETH MARTIN
6265 SEPULVEDA BLVD
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
Mailing Address
-- ELISABETH MARTIN
6265 SEPULVEDA BLVD
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
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