Individual
JOSEPH LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
801 E WASHINGTON ST STE 150, MEDINA, OH 44256-3336
(330) 722-1069
(330) 764-9712
Mailing address
8189 PECK RD, RAVENNA, OH 44266-9739
(330) 296-3279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E3022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033454
—
OH
Enumeration date
11/16/2006
Last updated
07/08/2007
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