Individual
BILLY CYRUS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LCDC
Contact information
Practice address
3011 NEWBROOK DR, PEARLAND, TX 77584-7179
(713) 726-4114
Mailing address
3011 NEWBROOK DR, PEARLAND, TX 77584-7179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13791
TX
104100000X
Social Worker
66903
TX
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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