Individual
MR. HERBERT PETER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
401 JACKSON AVE E, OXFORD, MS 38655-3809
(662) 236-5773
(662) 236-5844
Mailing address
401 JACKSON AVE E, OXFORD, MS 38655-3809
(662) 236-5773
(662) 236-5844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0644
MS
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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