Individual
JACOB RYAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DUNBAR PLZ, DUNBAR, WV 25064-3038
(304) 513-3900
Mailing address
1 DUNBAR PLZ, DUNBAR, WV 25064-3038
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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