Individual
JUSTIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 727-4360
Mailing address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8446-C
NV
1041C0700X
Clinical Social Worker
I.1901465
OH
1041C0700X
Clinical Social Worker
Primary
LCSW-20365
AZ
Other
Enumeration date
01/31/2018
Last updated
08/22/2023
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