Martin, Laurel E

Martin, Laurel E is an individual health care provider with primary practice located at 4656 Brambleton Ave , Roanoke VA 24018-3437. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martin, Laurel E can be contacted via phone (540) 772-8043.

Contact Information

Primary practice address
4656 Brambleton Ave Roanoke VA 24018-3437
Phone: (540) 772-8043
Fax: (540) 772-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Virginia

Profile Details

NPI number 1669447660
LBN Legal business name Martin, Laurel E
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669447660 NPPES
Virginia Other 060670 VALUE OPTIONS
Virginia Other 189284 VALUE OPTIONS
Virginia Other 5273757 VALUE OPTIONS

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