Individual
CORTIM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2727 PACES FERRY RD SE, BUILDING 1, SUITE 750, ATLANTA, GA 30339-4053
(678) 348-0618
Mailing address
4755 WEHUNT TRL SE, SMYRNA, GA 30082-7314
(305) 401-5911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC008945
GA
101YM0800X
Mental Health Counselor
LPC008945
GA
101YP2500X
Professional Counselor
LPC008945
GA
101YS0200X
School Counselor
LPC008945
GA
106H00000X
Marriage & Family Therapist
LPC008945
GA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
06/21/2023
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