Martin, Chester Michael

Martin, Chester Michael is an sole proprietor health care provider with primary practice located at 901 Arsenal Ave. Suite 202, Fayetteville NC 28305-5478. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Martin, Chester Michael can be contacted via phone (910) 323-3368.

Contact Information

Primary practice address
901 Arsenal Ave. Suite 202 Fayetteville NC 28305-5478
Phone: (910) 323-3368
Fax: (910) 486-7000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X S967 North Carolina

Profile Details

NPI number 1457301079
LBN Legal business name Martin, Chester Michael
Credentials LPC, LPCS, ACS, NBCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Sep 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457301079 NPPES
North Carolina Other S967 NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
North Carolina MEDICAID 6102069 NC BOARD OF LICENSED PROFESSIONAL COUNSELORS

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