Individual
MICHAEL L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REVEREND
Contact information
Practice address
1340 NEWPORT RD, MANHEIM, PA 17545-9350
(717) 824-5965
Mailing address
1340 NEWPORT RD, MANHEIM, PA 17545-9350
(717) 824-5965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
PA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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