Individual provider · Type 1 NPI

Roger Martin, LPC

Professional Counselor · Odessa, TX

NPI number 1104060094 Active

Practice location

1512 N Grandview Ave
Odessa, TX 79761-3044

Call (432) 550-3001 Map

Fax (432) 550-3005

Mailing address

16433 N Western Ave
Gardendale, TX 79758-4040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X61692 (TX)
Mental Health Counselor 101YM0800X61692 (TX)
Professional Counselor Primary 101YP2500X61692 (TX)
Marriage & Family Therapist 106H00000X61692 (TX)

Professional Counselor: Definition to come...

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About NPI 1104060094

Roger Martin, LPC's National Provider Identifier is 1104060094, issued on Apr 23, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Odessa, TX. The record was last updated on Apr 23, 2009.