Individual
LAWRENCE ALBERT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
407 S TEJON ST STE J, COLORADO SPRINGS, CO 80903-2196
(719) 213-8169
Mailing address
2111 N CHESTNUT ST, COLORADO SPRINGS, CO 80907-6615
(719) 213-8169
(719) 213-8169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0013407
CO
Other
Enumeration date
10/19/2010
Last updated
08/18/2022
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