Individual provider · Type 1 NPI
Susan Lynn Martin, MA, LPC
Professional Counselor · Lake Havasu City, AZ
NPI number
1124261102
Active
Practice location
2277 Swanson Ave., Suite B
Lake Havasu City, AZ 86403
Fax (928) 854-0112
Mailing address
P.o. Box 1746
Lake Havasu City, AZ 86405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-13205 (AZ) |
| Professional Counselor Primary | 101YP2500X | LPC-13205 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1124261102
Susan Lynn Martin, MA, LPC's National Provider Identifier is 1124261102, issued on Apr 7, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Oct 5, 2010.