Individual
GARY MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
4116 S LANDESS ST, MARION, IN 46953-4939
(765) 398-3879
Mailing address
4116 S LANDESS ST, MARION, IN 46953-4939
(765) 398-3879
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001718A
IN
Other
Enumeration date
05/23/2007
Last updated
03/17/2011
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