Individual provider · Type 1 NPI

Tracy Lea Martin

Counselor · Wagoner, OK

NPI number 1053531855 Active

Practice location

109 S Harrill, Eri
Wagoner, OK 74467

Call (918) 485-3554 Map

Fax (918) 485-8371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053531855

Tracy Lea Martin's National Provider Identifier is 1053531855, issued on Apr 26, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on Sep 13, 2007.