ETHAN MARTIN

FORT MYERS, FL
NPI1639705601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  12248)
Enumeration Date2020-03-20
Last Update Date2020-03-20
Business Address
ETHAN MARTIN MA, LMHC
2400 EDISON AVE
FORT MYERS, FL 33901-5106
Phone number: 239-332-0140
Mailing Address
ETHAN MARTIN MA, LMHC
3605 CEDAR OAK DR APT 105
FORT MYERS, FL 33916-6409
Phone number:
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