Individual
GINA J. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
3834 NEW PROSPERITY LN STE B, ADDIS, LA 70710-3051
(504) 975-6091
(888) 716-7779
Mailing address
4818 VIOLA FARMS DR, ADDIS, LA 70710-3102
(504) 975-6091
(888) 716-7779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6542
LA
Other
Enumeration date
04/10/2017
Last updated
08/11/2023
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