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1528521028
JASON TIMOTHY MARTIN
FAYETTEVILLE, NC
NPI
1528521028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 14728)
Enumeration Date
2019-04-11
Last Update Date
2023-11-28
Business Address
JASON TIMOTHY MARTIN LPC, NCC
351 WAGONER DR STE 418
FAYETTEVILLE, NC 28303-4608
Phone number: 910-580-4973
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Mailing Address
JASON TIMOTHY MARTIN LPC, NCC
351 WAGONER DR STE 418
FAYETTEVILLE, NC 28303-4608
Phone number: 910-580-4973
Copy
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