Individual
JOHANNAH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, MA
Contact information
Practice address
2512B FAYETTEVILLE RD, LUMBERTON, NC 28358-3114
(910) 536-1689
Mailing address
2512B FAYETTEVILLE RD, LUMBERTON, NC 28358-3114
(910) 536-1689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29540
NC
Other
Enumeration date
12/10/2015
Last updated
01/11/2024
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