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General NPI Number Information
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NPI Number | 1023168200
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Entity Type | Individual
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Provider Name | DANIEL MARTIN MS, LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2801 BUFORD HWY NE SUITE 503
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City | ATLANTA
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State | GA
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Zip | 30329-2149
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Country | US
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Telephone | 770-928-5130
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 PEACHTREE RD NW UNIT #113
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City | ATLANTA
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State | GA
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Zip | 30305-3691
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Country | US
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Telephone | 770-928-5130
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LPC003929
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC003929
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License Number State | GA
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