Individual
DAVID LEON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS, LPC
Contact information
Practice address
3295 TARA CT NW, KENNESAW, GA 30144-1853
(770) 427-2041
Mailing address
3295 TARA CT NW, KENNESAW, GA 30144-1853
(770) 427-2041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC002779
GA
Other
Enumeration date
09/01/2007
Last updated
09/01/2007
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