Provider Demographics
NPI:1124459789
Name:EFODZI, MARTINA E (LCPAT, LCPC, LPC)
Entity type:Individual
Prefix:MRS
First Name:MARTINA
Middle Name:E
Last Name:EFODZI
Suffix:
Gender:F
Credentials:LCPAT, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8730 GEORGIA AVE STE 200F
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3651
Mailing Address - Country:US
Mailing Address - Phone:202-759-2328
Mailing Address - Fax:
Practice Address - Street 1:8730 GEORGIA AVE STE 200F
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3651
Practice Address - Country:US
Practice Address - Phone:202-759-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14405101YP2500X
MDLC9826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional