Most Relevant Information
Provider Data
| NPI Number: | 1003292749 |
| Provider Name: | ANDREA MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2015 |
| Last Updated: | 08/05/2015 |
Provider Practice Location
4441 AUBURN BLVD STE E
SACRAMENTO
CA
958414139
Practice Location Phone/Fax
| Phone: | 9164735764 |
| Fax: | 9164735766 |
Provider Mailing Location
4441 AUBURN BLVD STE E
SACRAMENTO
CA
958414139
Provider Mailing Phone/Fax
| Phone: | 9164735764 |
| Fax: | 9164735766 |