Individual provider · Type 1 NPI
Cory Eugene Martin
Counselor · Detroit, MI
NPI number
1164881306
Active
Practice location
1852 W. Grand Blvd.
Detroit, MI 48208
Fax (313) 894-1274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | L836030 (MI) |
Counselor: 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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About NPI 1164881306
Cory Eugene Martin's National Provider Identifier is 1164881306, issued on Feb 16, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 16, 2016.