Individual
MR. ERIC DOUGLAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCJP
Contact information
Practice address
7209J E WT HARRIS BLVD # 199, CHARLOTTE, NC 28227-1008
(704) 649-3153
Mailing address
7209J E WT HARRIS BLVD # 199, CHARLOTTE, NC 28227-1008
(704) 649-3153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
72
NC
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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