Individual
DAVID MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2082 S STONYFIELD PL, BOISE, ID 83709-5508
(208) 371-7226
Mailing address
2082 S STONYFIELD PL, BOISE, ID 83709-5508
(208) 371-7226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 5819
ID
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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