Provider Demographics
NPI:1730374356
Name:LOW, MARTHA V (MA LPC)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:V
Last Name:LOW
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 CURRAGHMORE RD
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8492
Mailing Address - Country:US
Mailing Address - Phone:336-766-1913
Mailing Address - Fax:
Practice Address - Street 1:1724 CURRAGHMORE RD
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-8492
Practice Address - Country:US
Practice Address - Phone:336-766-1913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC828101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health