Most Relevant Information
Provider Data
| NPI Number: | 1003393968 |
| Provider Name: | MELISSA STONE MARTINEZ LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LPC010211 |
Most Important Dates
| Enumeration Date: | 07/24/2018 |
| Last Updated: | 07/24/2018 |
Provider Practice Location
175 BRADFORD SQ STE D
FAYETTEVILLE
GA
302151967
Practice Location Phone/Fax
| Phone: | 6789646023 |
| Fax: |
Provider Mailing Location
175 BRADFORD SQ STE D
FAYETTEVILLE
GA
302151967
Provider Mailing Phone/Fax
| Phone: | 6789646023 |
| Fax: |