Individual
MR. JOSEPH PAUL MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
2305 E PARIS AVE SE STE 203, GRAND RAPIDS, MI 49546-2426
(616) 929-0226
Mailing address
1350 PINCKNEY RD, SARANAC, MI 48881-9411
(616) 929-0226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012156
MI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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