Individual
MICHAEL C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
28 CATHERINE AVE, SADDLE BROOK, NJ 07663-4806
(201) 873-9375
Mailing address
28 CATHERINE AVE, SADDLE BROOK, NJ 07663-4806
(201) 873-9375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37AC00036500
NJ
101YP2500X
Professional Counselor
Primary
37PC00705600
NJ
Other
Enumeration date
09/16/2019
Last updated
10/23/2020
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