Individual
MR. RICHARD GRANT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,LPC,LMFT
Contact information
Practice address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 469-9132
(318) 377-9979
Mailing address
1232 SHEPPARD ST, MINDEN, LA 71055-3460
(318) 469-9132
(318) 377-9979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2032
LA
106H00000X
Marriage & Family Therapist
137
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063562494
NPI
LA
05
—
5469534
—
LA
Enumeration date
01/10/2007
Last updated
11/18/2019
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