| Doctor Name: | MRS. ELIZABETH ANNE MARTIN |
| NPI Number: | 1306170022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1 Kings Way Avenal, CA - 932049708 |
| Business Phone Number: | 5593869964 |
| Business Fax Number: | 5593860809 |
| Mailing Address: | 1068 S 7th Ave Apt 127, AVENAL |
| State: | CA |
| Postal Code: | 932041781 |
| Phone Number: | 5593894121 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2009 |
| NPI Last Update Date: | 09/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |