Individual
MS. JODIE HELEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
254 FARRINGTON AVE SE, ATLANTA, GA 30315-1954
(770) 366-7670
Mailing address
254 FARRINGTON AVE SE, ATLANTA, GA 30315-1954
(770) 366-7670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
GA
Enumeration date
05/30/2013
Last updated
05/30/2013
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