Individual
MICHAEL L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 NORTH BROADWAY AVE, POTEAU, OK 74953-0711
(918) 647-4196
(918) 647-5741
Mailing address
PO BOX 711, POTEAU, OK 74953-0711
(918) 647-4196
(918) 647-5741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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