Individual
JENNIFER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
871 WASHINGTON ST, RALEIGH, NC 27605-1499
(919) 229-9834
Mailing address
2520 BROOK CROSSING CIR, RALEIGH, NC 27606-3169
(716) 400-4382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17986
NC
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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