Individual
MRS. PEPPER LEIGH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
338 PATRICK AVENUE, STUART, VA 24171-2581
(276) 693-3381
Mailing address
338 PATRICK AVENUE, STUART, VA 24171
(276) 693-3381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701007504
VA
261QM0850X
Adult Mental Health Clinic/Center
Primary
0701007504
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
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Other
Enumeration date
06/21/2018
Last updated
11/19/2018
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