KANETRA M MARTIN
NPI 1114968369
Counselor - Mental Health in Moncks Corner, SC

Active since June 09, 2006
403 STONEY LANDING RD, MONCKS CORNER, SC 29461(843) 761-8282 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kanetra M Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANETRA M MARTIN (NPI 1114968369) is an individual mental health provider in Moncks Corner, South Carolina and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114968369
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKANETRA M MARTIN
Location Address403 STONEY LANDING RDMoncks Corner, SC 29461-3967
Mailing Address403 Stoney Landing RdMoncks Corner, SC 29461-3967
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 5, 2008
NPI 1114968369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
403 STONEY LANDING RD, Moncks Corner, SC 29461

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Registered Nurse
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Professional)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Exclusive Provider Organization
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Licensed Practical Nurse
403 STONEY LANDING RD
MONCKS CORNER, SC 29461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanetra Martin's NPI number?

The NPI number for Kanetra Martin is 1114968369. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Kanetra Martin located?

Kanetra Martin practices at 403 Stoney Landing Rd, Moncks Corner, SC 29461. The listed phone number is (843) 761-8282.

What is Kanetra Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kanetra Martin was last updated on September 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.