Individual provider · Type 1 NPI
Martin Lyle Plog, L.P.C.
Professional Counselor · Jefferson, GA
NPI number
1184679680
Active
Practice location
2610 Highway 129 N
Jefferson, GA 30549-2652
Mailing address
48 Pebble Ct
Hoschton, GA 30548-3071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001615 (GA) |
Professional Counselor: Definition to come...
2 other providers at this address
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- Meagan Flenniken, LPCProfessional Counselor Jefferson, GA NPI 1497596555
- Megan Scoggins, LPCProfessional Counselor Jefferson, GA NPI 1528834462
- Abbie Vipperman, LPCProfessional Counselor Jefferson, GA NPI 1629780671
About NPI 1184679680
Martin Lyle Plog, L.P.C.'s National Provider Identifier is 1184679680, issued on May 23, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson, GA. The record was last updated on Jul 13, 2026.