Individual
EDWARD H MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,LPC
Contact information
Practice address
1111 N EASTMAN RD, KINGSPORT, TN 37664-3156
(423) 246-5111
(423) 246-5288
Mailing address
1111 N EASTMAN RD, KINGSPORT, TN 37664-3156
(423) 246-5111
(423) 246-5288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0339
TN
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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