Individual provider · Type 1 NPI

Kristine Lynn Martin, MA LPCC

Professional Counselor · Minneapolis, MN

NPI number 1366717415 Active

Practice location

250 S 4th St, Psc Room 510
Minneapolis, MN 55415-1335

Fax (612) 668-4405

Mailing address

1906 W 54th St
Minneapolis, MN 55419-1513

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC00463 (MN)

Professional Counselor: Definition to come...

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About NPI 1366717415

Kristine Lynn Martin, MA LPCC's National Provider Identifier is 1366717415, issued on Mar 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on May 16, 2012.