NPI | 1942656392 |
---|---|
Other Name | COTY MARTIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC008945) |
101YM0800X Counselor, Mental Health (Licence: GA LPC008945) | |
101YP2500X Counselor, Professional (Licence: GA LPC008945) | |
101YS0200X Counselor, School (Licence: GA LPC008945) | |
106H00000X Marriage & Family Therapist (Licence: GA LPC008945) | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2023-06-21 |