Individual
ISAIAH KINDRICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
400 19TH ST E, JASPER, AL 35501-5416
(205) 936-8107
Mailing address
3101 MIMOSA CT, JASPER, AL 35503-3845
(205) 272-4521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04752
AL
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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