Individual
DR. CHESTER MICHAEL MARTIN
Active
Individual
DR. CHESTER MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LPCS, ACS, NBCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102069
—
NC
01
—
S967
NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
05/12/2006
Last updated
09/11/2017
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