MS. Jessica Alyssa Martin

NPI #1629349600 in Dallas, Pennsylvania

Provider Information

NPI Number: 1629349600
Entity Type: Individual
Name: MS. Jessica Alyssa Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 23, 2012
Last Updated: Jan 23, 2012

Practice Location

Address: 1172 TWIN STACKS DR # 427
City: Dallas
State: Pennsylvania
ZIP Code: 18612-8505
Phone: (570) 674-1505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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