| Doctor Name: | ANGELA G MARTIN |
| NPI Number: | 1508078288 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 20162 |
| Business Practice Address: | 101 Park St Hutto, TX - 78634 |
| Business Phone Number: | 5129141984 |
| Business Fax Number: | 5128462245 |
| Mailing Address: | Po Box 782, HUTTO |
| State: | TX |
| Postal Code: | 786340782 |
| Phone Number: | 5129141984 |
| Fax Number: | 5128462245 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 20162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |