Individual
LESLIE BENITA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,LPC
Contact information
Practice address
4500 W BRIGANTINE AVE APT 1103, BRIGANTINE, NJ 08203-1466
(917) 251-0288
Mailing address
PO BOX 839, BRIGANTINE, NJ 08203-0839
(917) 251-0288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001024
NY
101YP2500X
Professional Counselor
Primary
37PC00867300
NJ
Other
Enumeration date
05/31/2021
Last updated
09/27/2022
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