Individual
JESSE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC MED
Contact information
Practice address
300 S WALNUT LN STE 201, BEAVER, PA 15009-1737
(724) 907-1667
Mailing address
300 S WALNUT LN STE 201, BEAVER, PA 15009-1737
(724) 907-1667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010987
PA
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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