Individual provider · Type 1 NPI
Melissa Martin, LCPC
Professional Counselor · Chicago, IL
NPI number
1174032007
Active
Practice location
2428 N Western Ave
Chicago, IL 60647-2012
Mailing address
1057 Ponca Dr
Batavia, IL 60510-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.012613 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.012812 (IL) |
Professional Counselor: Definition to come...
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About NPI 1174032007
Melissa Martin, LCPC's National Provider Identifier is 1174032007, issued on Sep 22, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Sep 19, 2024.