Kimberly Daianna Martin, LAC
NPI #1861211906 in Montclair, New Jersey
Provider Information
- NPI Number
- 1861211906
- Entity Type
- Individual
- Name
- Kimberly Daianna Martin, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAC
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Oct 7, 2024
Practice Location
- Address
- 6 GATES AVENUE
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042
- Phone
- (973) 604-6881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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