Individual
MR. GREGG M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
2 HUNT CLUB DR, COLLEGEVILLE, PA 19426-3960
(610) 564-9365
Mailing address
2 HUNT CLUB DR, COLLEGEVILLE, PA 19426-3960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005068
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC005068
PROFESSIONAL COUNSELOR
PA
Enumeration date
02/02/2009
Last updated
02/02/2009
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