| Doctor Name: | ERIN MARTINACHE |
| NPI Number: | 1003212770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 60231535 |
| Business Practice Address: | 110 W K St Shelton, WA - 985842939 |
| Business Phone Number: | 3604261696 |
| Business Fax Number: | 3604270357 |
| Mailing Address: | 1190 E Vine Maple Ln, UNION |
| State: | WA |
| Postal Code: | 985929748 |
| Phone Number: | 3604261696 |
| Fax Number: | 3604270357 |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 60231535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |