| Doctor Name: | BARBARA MARTIN |
| NPI Number: | 1316321425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1630 |
| Business Practice Address: | 1215a Stewart Plz Dunbar, WV - 250643021 |
| Business Phone Number: | 3047685506 |
| Business Fax Number: | 3047685508 |
| Mailing Address: | 180 W Short Rd, KENNA |
| State: | WV |
| Postal Code: | 252487701 |
| Phone Number: | 3045394005 |
| Fax Number: | 3047685508 |
| NPI Enumeration Date: | 07/17/2015 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |