| Angie Martin, | |
|
634 Groveview Ln, La Canada Flintridge, CA 91011-2634 | |
| (818) 790-2438 | |
| Not Available |
| Full Name | Angie Martin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 634 Groveview Ln, La Canada Flintridge, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386181451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.012667 (Illinois) | Primary |
| 101YP2500X | Counselor - Professional | 2688 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Martin, 1111 Sunvue Pl, 2, Los Angeles, CA 90012-1563 Ph: () - | Angie Martin, 634 Groveview Ln, La Canada Flintridge, CA 91011-2634 Ph: (818) 790-2438 |
Tamar Kevork Matossian, SLPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Foothill Blvd, La Canada Flintridge, CA 91011 Phone: 626-765-1724 | |
Sophia Marie Hansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 332, La Canada Flintridge, CA 91012 Phone: 626-755-7199 |