Individual
DR. GLENN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2414 FERRAND ST, 1, MONROE, LA 71201-3249
(318) 325-0072
(318) 325-0070
Mailing address
2414 FERRAND ST, 1, MONROE, LA 71201-3249
(318) 325-0072
(318) 325-0070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3224
LA
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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