Individual
IRA JAMES MARTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 UNION AVE STE 1000, MEMPHIS, TN 38104-7501
(901) 459-3391
Mailing address
1667 FARINDALE CV, NESBIT, MS 38651-6208
(662) 806-8804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6562
TN
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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