Diane Watson Martin, LCSW Valid NPI

Individual provider · Mental Health Counselor · Chubbuck, ID

NPI

1265678387

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LCSW726 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-12-18

Last updated

2008-12-18