| Diane Watson Martin, LCSW | |
|
4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | |
| (208) 237-1711 | |
| (208) 237-5192 |
| Full Name | Diane Watson Martin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4460 Central Way, Chubbuck, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265678387 | NPI | - | NPPES |
| 807197600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW726 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Watson Martin, LCSW 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 Ph: (208) 237-1711 | Diane Watson Martin, LCSW 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 Ph: (208) 237-1711 |
Lavon Marie Cole, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nancy Bentley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
David Averill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 Kings Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-5192 | |
Sara Stengel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Chesapeake Ave, Chubbuck, ID 83202 Phone: 208-352-6486 | |
Jade Letourneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 | |
Laurie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-238-2120 | |
Ashley Bringhurst, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4856 Brookstone St, Chubbuck, ID 83202 Phone: 208-709-0033 |