person
Mr. Martin Lyle Plog, LPC
Professional Counselor in Jefferson, Georgia
NPI 1184679680

Martin Lyle Plog is a Professional Counselor based in Hoschton, GA and is specialized in Professional. Martin Lyle Plog practices in Jefferson, GA and has the professional credentials of LPC. The NPI Number for Martin Lyle Plog is 1184679680 and holds a License No. 001615 (Georgia).

The current practice location address for Martin Lyle Plog is 2610 Highway 129 N, Jefferson, GA and can be reached out via phone at 706-367-1008.

Location: 2610 Highway 129 N, Jefferson, GA, 30548-3071
person
Provider Profile Details
NPI Number
1184679680
Provider Name
Martin Lyle Plog
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2610 Highway 129 N, Jefferson, GA, 30548-3071
Phone Number
706-367-1008
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2610 Highway 129 N
City
State
Zip
30549-2652
Phone Number
706-367-1008
Fax Number
person
Provider Business Mailing Address Details
Address
2610 Highway 129 N
City
State
Zip
30549-2652
Phone Number
706-367-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001615 (Georgia)
Definition
Definition to come...
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