Individual provider · Type 1 NPI

Gina J. Martin, LPC-S

Professional Counselor · Addis, LA

NPI number 1104359801 Active

Practice location

3834 New Prosperity Ln Ste B
Addis, LA 70710-3051

Fax (888) 716-7779

Mailing address

4818 Viola Farms Dr
Addis, LA 70710-3102

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-6542 (LA)

Professional Counselor: Definition to come...

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About NPI 1104359801

Gina J. Martin, LPC-S's National Provider Identifier is 1104359801, issued on Apr 10, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Addis, LA. The record was last updated on Aug 11, 2023.