NPI | 1003192972 |
---|---|
Professional Name | BRANDON L MARTIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1302015) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AR 351L) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2020-12-02 |