Individual
TRISTAN ALEXANDER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
313 S CLINTON ST, GRAND LEDGE, MI 48837-2003
(517) 925-8375
Mailing address
313 S CLINTON ST, GRAND LEDGE, MI 48837-2003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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