Organization
MARTIN MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DAVID MARTIN II LPC (OWNER)
(856) 912-0225
Entity
Organization
Contact information
Practice address
147 TUCKERTON RD, SHAMONG, NJ 08088-8663
(856) 912-0225
Mailing address
147 TUCKERTON RD, SHAMONG, NJ 08088-8663
(856) 912-0225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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