Individual
MR. JESSE CHARLES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
2945 S MIAMI BLVD, SUITE 103, DURHAM, NC 27703-8024
(919) 616-1546
Mailing address
2945 S MIAMI BLVD, SUITE 103, DURHAM, NC 27703-8024
(919) 616-1546
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
11/19/2013
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