Individual
DR. JEFFREY STEVEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
300 PALMER LN, CHARLOTTE, VT 05445-4410
(802) 425-4319
Mailing address
300 PALMER LN, CHARLOTTE, VT 05445-4410
(802) 425-4319
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0480000491
VT
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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