Individual
MR. JERRY WAYNE MARTIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
709 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 900-6767
(843) 285-5916
Mailing address
709 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 900-6767
(843) 285-5916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3929
SC
Other
Enumeration date
05/11/2006
Last updated
03/15/2024
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