TENNIS SHANE MARTIN

AURORA, CO
NPI1598162612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  356)
Enumeration Date2014-12-04
Last Update Date2015-01-12
Business Address
-- TENNIS SHANE MARTIN LPC, MA
1390/1400 CHAMBERS RD
AURORA, CO 80011
Phone number: 719-429-2356
Mailing Address
-- TENNIS SHANE MARTIN LPC, MA
11059 E. BETHANY DRIVE
AURORA, CO 80014
Phone number: 303-617-2300