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General NPI Number Information
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NPI Number | 1508855768
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Entity Type | Individual
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Provider Name | CATHERINE MARY MARTIN LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1680 EAST GUDE DR
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-580-1563
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Fax | 301-929-9652
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Provider Business Mailing Address
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Address Line | 4226 BAR HARBOR PLACE
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City | OLNEY
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State | MD
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Zip | 20832-2966
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Country | US
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Telephone | 301-580-1563
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Fax | 301-929-9652
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCO491
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License Number State | MD
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