Individual provider · Type 1 NPI

Kelly Jane Martin, LCPC

Professional Counselor · Chicago, IL

NPI number 1023352382 Active

Practice location

2551 N Clark St, Suite 800
Chicago, IL 60614-1798

Mailing address

1134 W Granville Ave, Unit 918
Chicago, IL 60660-2092

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.008420 (IL)

Professional Counselor: Definition to come...

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About NPI 1023352382

Kelly Jane Martin, LCPC's National Provider Identifier is 1023352382, issued on Nov 26, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Nov 26, 2012.