Individual
DEBRA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
267 GLENMONT AVE, COLUMBUS, OH 43214-3207
(614) 596-8678
Mailing address
267 GLENMONT AVE, COLUMBUS, OH 43214-3207
(614) 596-8678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I.2002151
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.2002151
SOCIAL WORK LICENSE
OH
Enumeration date
02/24/2022
Last updated
02/24/2022
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