Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 PILGRIM VILLAGE DR STE 300, CUMMING, GA 30040-9232
(678) 897-3445
Mailing address
104 PILGRIM VILLAGE DR STE 300, CUMMING, GA 30040-9232
(678) 897-3445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008748
GA
Other
Enumeration date
01/20/2017
Last updated
06/17/2021
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