Individual
FELICE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 SANDBUNKER CT, FAYETTEVILLE, GA 30215-8002
(404) 723-5395
Mailing address
165 SANDBUNKER CT, FAYETTEVILLE, GA 30215-8002
(404) 723-5395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004280
GA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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