Individual
MR. DONOVAN P MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LMHC
Contact information
Practice address
1910 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5000
(260) 484-5599
Mailing address
1910 SAINT JOE CENTER RD, FORT WAYNE, IN 46825-5000
(260) 484-5599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001739A
IN
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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