Individual
MR. BRANDON L MARTIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-S, LADAC
Contact information
Practice address
716 S PINE ST, HARRISON, AR 72601-5830
(870) 204-6016
(870) 782-2914
Mailing address
PO BOX 1131, HARRISON, AR 72602-1131
(870) 204-6016
(870) 782-2914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1302015
AR
Other
Enumeration date
10/24/2011
Last updated
04/07/2025
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