Individual provider · Type 1 NPI
Jordan Martin, MA, NCC, LPC
Professional Counselor · Marina Del Rey, CA
NPI number
1225645807
Active
Practice location
4065 Glencoe Ave
Marina Del Rey, CA 90292-4600
Mailing address
4065 Glencoe Ave Apt 310
Marina Del Rey, CA 90292-6079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC012365 (PA) |
Professional Counselor: Definition to come...
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About NPI 1225645807
Jordan Martin, MA, NCC, LPC's National Provider Identifier is 1225645807, issued on Sep 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marina Del Rey, CA. The record was last updated on Sep 28, 2020.