Individual
CLARENCE MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8218 ST CLIFFORD CT, INDIANAPOLIS, IN 46239-8996
(317) 667-8409
Mailing address
8218 ST CLIFFORD CT, INDIANAPOLIS, IN 46239-8996
(317) 667-8409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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