Gregory John Martin in Essex Junction - Mental Health
Gregory John Martin - NPI 1053509059
Gregory John Martin is a Mental Health in Essex Junction, Vermont. Gregory John Martin practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gregory John Martin is 1053509059. The last update date is 2007-10-15.
Gregory John Martin's current location address is 64 Susie Wilson Rd, Essex Junction, Vermont. You can contact this provider via phone number 8023633220. The mailing address for Gregory John Martin is 64 Susie Wilson Rd, Essex Junction, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory John Martin |
|---|---|
| Address | 64 Susie Wilson Rd, Essex Junction, Vermont |
| Phone Number | 8023633220 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMHC, NCC |
NPI Number Detail
| NPI Number | 1053509059 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 64 Susie Wilson Rd |
|---|---|
| City | Essex Junction |
| State | Vermont (VT) |
| Post Code | 54522808 |
| Phone Number | 8023633220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 068-0000704 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Gregory John Martin by the Centers for Medicare & Medicaid Services?
The Gregory John Martin has been issued the NPI (National Provider Identifier) 1053509059. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory John Martin?
The Gregory John Martin is situated at 64 Susie Wilson Rd, in the city of Essex Junction, state of VT, with the zip code 54522808.
What is Gregory John Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory John Martin's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Gregory John Martin receive its 1053509059 assignment from the Centers for Medicare & Medicaid Services?
The Gregory John Martin was assigned its 1053509059 by the Centers for Medicare & Medicaid Services on 2007-10-04.
As of what date were the details related to Gregory John Martin most recently updated or revised?
The information pertaining to Gregory John Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-15.