Individual
JONATHAN MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
300 CENTURY PARK S STE 100, BIRMINGHAM, AL 35226-3924
(205) 942-3200
Mailing address
300 CENTURY PARK S STE 100, BIRMINGHAM, AL 35226-3924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4198
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC4198
STATE OF ALABAMA
AL
Enumeration date
01/21/2020
Last updated
01/22/2020
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