Individual
MR. JASON R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, CPRP
Contact information
Practice address
14901 BROSCHART RD, ADVENTIST BEHAVIORAL HEALTH, ROCKVILLE, MD 20850-3318
(301) 251-4638
(301) 840-1348
Mailing address
14901 BROSCHART RD, ADVENTIST BEHAVIORAL HEALTH, ROCKVILLE, MD 20850-3318
(301) 251-4638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4470
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816700100
—
MD
Enumeration date
07/11/2012
Last updated
11/30/2016
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