Individual
KEITH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(703) 215-7052
Mailing address
801 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-2167
(703) 215-7052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
MD
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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