Individual
DOUGLAS R MARTINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
27 S 5TH AVE, HIGHLAND PARK, NJ 08904-2604
(732) 876-9587
Mailing address
12 UNIVERSAL AVE, ISELIN, NJ 08830-2453
(732) 510-9389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00708500
NJ
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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