Individual
BREONA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1500 GEORGIA AVE, RICHMOND, VA 23220-6804
(804) 357-1731
Mailing address
1500 GEORGIA AVE, RICHMOND, VA 23220-6804
(804) 357-1731
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
VA
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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