Search › Georgia › 106H00000X
Ebonique Martin, LMFT
NPI 1083912117 · on the registry since 2011
Practice
- Address
- 2109 N Patterson St Ste B
Valdosta, GA 31602 - Phone
- (229) 232-4833
- Fax
- (877) 343-0538
- Organisation at this address
- Valdosta Physical Therapy, Inc
Azalea Neuro And Spine Clinic Pc
Barron Behavioral Health Solutions Llc
Psychiatric Consulting Services Of South Georgia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia