MS. Carolyn Dianne Martin, LCMFT

NPI #1194018283 in Lenexa, Kansas

Provider Information

NPI Number
1194018283
Entity Type
Individual
Name
MS. Carolyn Dianne Martin, LCMFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
LCMFT
Enumeration Date
May 23, 2011
Last Updated
May 23, 2011

Practice Location

Address
12351 W 96TH TER
Address 2
STE.300
City
Lenexa
State
Kansas
ZIP Code
66215-4409
Phone
(913) 894-0900

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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