person
Mark Martin, LCSW
Mental Health Counselor in Roanoke, Virginia
NPI 1346490695

Mark Martin is a Mental Health Counselor based in Roanoke, VA and is specialized in Mental Health. Mark Martin practices in Roanoke, VA and has the professional credentials of LCSW. The NPI Number for Mark Martin is 1346490695 and holds a License No. 0904007708 (Virginia).

The current practice location address for Mark Martin is 5673 Airport Rd, Roanoke, VA and can be reached out via phone at 540-523-8080 and via fax at 540-512-9775. You can also correspond with Mark Martin through the mailing address at 5673 AIRPORT RD, ROANOKE, VA - 24012-1119 (mailing address contact number: 540-523-8080).

Location: 5673 Airport Rd, Roanoke, VA, 24012-1119
person
Provider Profile Details
NPI Number
1346490695
Provider Name
Mark Martin
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
5673 Airport Rd, Roanoke, VA, 24012-1119
Phone Number
540-523-8080
Fax Number
540-512-9775
Provider Enumeration Date
09/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5673 Airport Rd
City
State
Zip
24012-1119
Phone Number
540-523-8080
Fax Number
540-512-9775
person
Provider Business Mailing Address Details
Address
5673 Airport Rd
City
State
Zip
24012-1119
Phone Number
540-523-8080
Fax Number
540-512-9775
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0904007708 (Virginia)
Definition
Definition to come...
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