Provider Demographics
NPI:1720264385
Name:KESLER, MARTHA K (LCPC)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:K
Last Name:KESLER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8835 CHESAPEAKE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BEACH
Mailing Address - State:MD
Mailing Address - Zip Code:20714-5015
Mailing Address - Country:US
Mailing Address - Phone:301-399-4696
Mailing Address - Fax:410-741-3047
Practice Address - Street 1:8835 CHESAPEAKE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BEACH
Practice Address - State:MD
Practice Address - Zip Code:20714
Practice Address - Country:US
Practice Address - Phone:301-399-4696
Practice Address - Fax:410-741-3047
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC2600OtherLICENSE
MD609550001Medicaid