Individual
PAUL PHILLIP MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 W WEST ST, BALTIMORE, MD 21230-3739
(410) 752-4454
Mailing address
140 W WEST ST, BALTIMORE, MD 21230-3739
(410) 752-4454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1841
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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