Individual
VONCEIL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1264 DUNCAN ST, FAYETTEVILLE, NC 28303-3788
(910) 488-2998
Mailing address
1264 DUNCAN ST, FAYETTEVILLE, NC 28303-3788
(910) 488-2998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1783
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1783
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/13/2006
Last updated
04/06/2012
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