Individual
MELISSA STONE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
175 BRADFORD SQ STE D, FAYETTEVILLE, GA 30215-1967
(678) 964-6023
Mailing address
175 BRADFORD SQ STE D, FAYETTEVILLE, GA 30215-1967
(678) 964-6023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC010211
GA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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