Individual
MR. DANIEL JOHN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LCMHC LADC
Contact information
Practice address
15 GREENFIELD LN, HAMPTON, NY 12837-2106
(802) 291-4950
Mailing address
PO BOX 1106, CASTLETON, VT 05735-1106
(802) 291-4950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008576
—
VT
Enumeration date
05/09/2007
Last updated
07/08/2007
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