Individual
PAMELA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WOODBINE AVE NW, ROME, GA 30165-2397
(706) 936-6070
Mailing address
233 ASHLAND PARK BLVD NE, ROME, GA 30161-8695
(706) 844-2540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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