MARTIN RICHARD

LAFAYETTE, LA
NPI1124493176
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- MARTIN RICHARD
1144 COOLIDGE BLVD SUITE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
Mailing Address
-- MARTIN RICHARD
1144 COOLIDGE BLVD SUITE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170