Individual
TIMOTHY PIERRE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S, LPC, NCC
Contact information
Practice address
44 PENTON CT, MILLBROOK, AL 36054-2413
(334) 399-3027
Mailing address
44 PENTON CT, MILLBROOK, AL 36054-2413
(334) 399-3027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05362
AL
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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