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Individual

JULIA M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1100136
OH
101YP2500X
Professional Counselor
Primary
E.1901340
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1473276
OH
05
2314525
OH
05
2864002
OH
Enumeration date
05/30/2018
Last updated
08/06/2020
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