Individual provider · Type 1 NPI

Bambi Rae Martin, LPC

Professional Counselor · Ada, OK

NPI number 1245350545 Active

Practice location

314 S. Broadway, Suite 106
Ada, OK 74820

Call (580) 235-0210 Map

Fax (580) 235-0211

Mailing address

112 W. Main
Purcell, OK 73080

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X3849 (OK)

Professional Counselor: Definition to come...

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About NPI 1245350545

Bambi Rae Martin, LPC's National Provider Identifier is 1245350545, issued on Mar 30, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ada, OK. The record was last updated on Oct 29, 2010.