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Individual

MR. GREGORY JOHN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, NCC

Contact information

Practice address
64 SUSIE WILSON RD, ESSEX JUNCTION, VT 05452-2808
(802) 363-3220
Mailing address
64 SUSIE WILSON RD, ESSEX JUNCTION, VT 05452-2808
(802) 363-3220

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000704
VT
101YS0200X
School Counselor
VT

Other

Enumeration date
10/04/2007
Last updated
10/15/2007
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