Individual
MR. LARRY RAY MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
316 HIGHWAY 65 NORTH, MARSHALL, AR 72650
(870) 448-4727
(870) 448-4496
Mailing address
517 BRADLEY RIDGE ROAD, MADSHALL, AR 72650
(870) 496-2707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A0607045
AR
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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