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Wynn Leslie Martin, CSW, CIT

Counselor, Addiction (Substance Use Disorder) in New Orleans, LA. Individual provider (NPI-1).

NPI number1942736772
StatusActive
Last updated in NPPESMay 11, 2017

Details

NPI
1942736772
Entity type
Individual (NPI-1)
Name
Mr. Wynn Leslie Martin
Credential
CSW, CIT
Sex
Male
Sole proprietor
Yes
Enumeration date
May 11, 2017
Last updated
May 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–LAYes

Practice location

4150 Earhart Blvd
New Orleans, LA 70125-1955

Phone 504-821-7289 · Fax 504-821-7296

Mailing address

4150 Earhart Blvd
New Orleans, LA 70125-1955

Phone 504-821-7287 · Fax 504-821-7296

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