Individual
MR. ALVIN WILLFARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
817 W FRONT ST, LILLINGTON, NC 27546-9735
(910) 814-2197
(910) 814-2167
Mailing address
817 W FRONT ST, LILLINGTON, NC 27546-9735
(910) 814-2197
(910) 814-2167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14151
NC
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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