Individual
JOHN BUTLER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MAC
Contact information
Practice address
601 N BELAIR SQ STE 2, EVANS, GA 30809-4322
(706) 750-8329
Mailing address
601 N BELAIR SQ STE 2, EVANS, GA 30809-4322
(706) 750-8329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MSW008450
GA
1041C0700X
Clinical Social Worker
Primary
CSW007801
GA
Other
Enumeration date
05/28/2019
Last updated
08/29/2023
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