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SUSAN MARTIN LMFT

Individual Provider (NPI-1) Active

Marriage & Family Therapist

Provider Information

NPI Number
1275000978
Provider Type
Individual Provider (NPI-1)
Credentials
LMFT
Status
Active

Contact & Location

Address
380 W. STATE ST., EAGLE, ID, 83616
Phone
(208) 629-7730

Specialties & Taxonomies

Marriage & Family Therapist License: CA #110172
Marriage & Family Therapist Primary License: ID #8352

All Addresses

LOCATION

380 W. STATE ST.

EAGLE, ID, 83616

(208) 629-7730

MAILING

PO BOX 140514

GARDEN CITY, ID, 83714

(916) 780-1059