Individual
LAZAIRE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4811 OLD CANTON RD STE A, JACKSON, MS 39211-5566
(855) 284-7483
(617) 807-0958
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0397
MS
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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