Individual provider · Type 1 NPI

Misty-Lee K. Martin, MA, LPC

Professional Counselor · Kennesaw, GA

NPI number 1710657614 Active

Practice location

4255 Wade Green Rd NW
Kennesaw, GA 30144-1762

Call (678) 213-2194 Map

Mailing address

426 Valleyside Dr
Dallas, GA 30157-9373

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC014096 (GA)

Professional Counselor: Definition to come...

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About NPI 1710657614

Misty-Lee K. Martin, MA, LPC's National Provider Identifier is 1710657614, issued on Sep 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennesaw, GA. The record was last updated on Sep 6, 2023.