Individual
MARTIN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC, CRC, MS
Contact information
Practice address
2150 PEACHFORD RD, SUITE Q, ATLANTA, GA 30338-6520
(678) 615-7032
(678) 281-0592
Mailing address
1304 NORTHVIEW AVE NE, ATLANTA, GA 30306-3231
(404) 432-9053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004315
GA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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