Individual provider · Type 1 NPI

Ethan Martin, MA, LMHC

Mental Health Counselor · Fort Myers, FL

NPI number 1639705601 Active

Practice location

2400 Edison Ave
Fort Myers, FL 33901-5106

Call (239) 332-0140 Map

Mailing address

3605 Cedar Oak Dr Apt 105
Fort Myers, FL 33916-6409

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12248 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1639705601

Ethan Martin, MA, LMHC's National Provider Identifier is 1639705601, issued on Mar 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 20, 2020.