Individual provider · Type 1 NPI

Gina C. Martin

Professional Counselor · Lake Bluff, IL

NPI number 1386235596 Active

Practice location

900 North Shore Dr
Lake Bluff, IL 60044-2243

Mailing address

63 Colchester Dr
Iowa City, IA 52245-9333

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178013726 (IL)

Professional Counselor: Definition to come...

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About NPI 1386235596

Gina C. Martin's National Provider Identifier is 1386235596, issued on Jan 30, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Bluff, IL. The record was last updated on Jan 30, 2021.