NPI 1013751536

Ebony Martin, PSS

Practitioner Peer Specialist Louisa, KY

Practice location

Address: 125 S Main Cross St, Louisa, KY 41230-1065
Phone: (606) 638-0938

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1013751536
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2024
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.