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Individual
ISAAC BENJAMIN MARTIN
Active
Individual
ISAAC BENJAMIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002636A
IN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/09/2011
Last updated
08/28/2019
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