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Individual

MICHAEL MARTIN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
125 E PARK AVE, HADDON TWP, NJ 08107-1034
(856) 236-3379
Mailing address
125 E PARK AVE, HADDON TWP, NJ 08107-1034
(856) 236-3379

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor

Other

Enumeration date
06/07/2018
Last updated
06/07/2018
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