Individual provider · Type 1 NPI

Charles Allen Martin

Mental Health Counselor · Fort Wayne, IN

NPI number 1386525863 Active

Practice location

6030 E State Blvd
Fort Wayne, IN 46815-7639

Call (260) 245-6374 Map

Fax (260) 245-6374

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386525863

Charles Allen Martin's National Provider Identifier is 1386525863, issued on Sep 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 10, 2025.