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Maynard Martin
Counselor in Long Beach, California
NPI 1588246193

Maynard Martin is a Counselor based in Long Beach, CA. Maynard Martin practices in Long Beach, CA. The NPI Number for Maynard Martin is 1588246193 and holds a License No. (California).

The current practice location address for Maynard Martin is 3939 Atlantic Ave Ste 102, Long Beach, CA and can be reached out via phone at 562-350-9346 and via fax at 562-473-0825.

Location: 3939 Atlantic Ave Ste 102, Long Beach, CA, 90807-3535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588246193
Provider Name
Maynard Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
3939 Atlantic Ave Ste 102, Long Beach, CA, 90807-3535
Phone Number
562-350-9346
Fax Number
562-473-0825
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3939 Atlantic Ave Ste 102
City
Long Beach
State
California
Zip
90807-3535
Phone Number
562-350-9346
Fax Number
562-473-0825
person
Provider Business Mailing Address Details
Address
3939 Atlantic Ave Ste 102
City
Long Beach
State
California
Zip
90807-3535
Phone Number
562-350-9346
Fax Number
562-473-0825
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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