Individual
ANDREW DOUGLAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCA
Contact information
Practice address
756 TYVOLA RD, SUITE 109, CHARLOTTE, NC 28217-3588
(704) 750-5524
(704) 918-1408
Mailing address
525 WEBSTER PL, CHARLOTTE, NC 28209-2336
(704) 750-5524
(704) 918-1408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10247
NC
Other
Enumeration date
08/21/2009
Last updated
10/16/2013
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