Individual provider · Type 1 NPI
David Bruce Martin, LCSW
Mental Health Counselor · Evanston, IL
NPI number
1083536296
Active
Practice location
1819 South Blvd
Evanston, IL 60202-2749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 149.031654 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1083536296
David Bruce Martin, LCSW's National Provider Identifier is 1083536296, issued on Jul 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evanston, IL. The record was last updated on Jul 28, 2026.