Individual
DAVID J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1452 HIGHWAY 98 E, COLUMBIA, MS 39429-8103
(601) 434-7127
Mailing address
1452 HIGHWAY 98 E, COLUMBIA, MS 39429-8103
(601) 434-7127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2330
MS
Other
Enumeration date
11/28/2018
Last updated
01/29/2020
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