Individual
HENRY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 LAKE EAST DR, APT # 2095, LAS VEGAS, NV 89117-2205
(702) 503-6469
Mailing address
3001 LAKE EAST DR, APT # 2095, LAS VEGAS, NV 89117-2205
(702) 503-6469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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