Individual
MR. KEVIN O MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 SPRING RD NW, WASHINGTON, DC 20010-1421
(202) 576-8936
(202) 576-6122
Mailing address
1125 SPRING RD NW, WASHINGTON, DC 20010-1421
(202) 576-8936
(202) 576-6122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC13640
DC
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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