Mr. Gregory John Martin
School Counselor Mental Health Counselor
64 Susie Wilson Rd
Essex Junction
, Vermont 05452-2808
Mr. Gregory John Martin
School Counselor Mental Health Counselor
64 Susie Wilson Rd
Essex Junction
, Vermont 05452-2808
(802) 363-3220
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About
Features
Specialties
- Mental Health Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Mr. Gregory John Martin
- 64 Susie Wilson Rd
- Essex Junction, VT
- Zip : 05452-2808
- Phone : (802) 363-3220
Second Address
- Mr. Gregory John Martin
- 64 Susie Wilson Rd
- Essex Junction, VT
- Zip : 05452-2808
- Phone : (802) 363-3220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 068-0000704 | VT |
| N | 101YS0200X | School Counselor | VT |
National Provider Identifier
| NPI | 1053509059 |
|---|---|
| Provider Name | Mr. Gregory John Martin |
| First Address | Essex Junction, VT 05452-2808 |
| Second Address | Essex Junction, VT 05452-2808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2007 |
| Last Update Date | 15/10/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.