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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.008420 (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.