Individual
GIORGIO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1628 W BURGESS LN, PHOENIX, AZ 85041-5533
(602) 529-4017
Mailing address
PO BOX 20195, PHOENIX, AZ 85036-0195
(602) 529-4017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23575
AZ
Other
Enumeration date
07/14/2025
Last updated
11/18/2025
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