Individual
MR. JONATHAN SANFORD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
1405A S GLENBURNIE RD, NEW BERN, NC 28562-2603
(910) 252-6389
(252) 638-7586
Mailing address
PO BOX 53, BEAUFORT, NC 28516-0053
(513) 600-4511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A13652
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/17/2018
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