Individual provider · Type 1 NPI

Pamela Gilliam Martin, MA

Mental Health Counselor · St. Paul, MN

NPI number 1407346125 Active

Practice location

2324 University Ave W Ste 120
St. Paul, MN 55114-1854

Mailing address

3339 Holmes Avenue
Minneapolis, MN 55408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407346125

Pamela Gilliam Martin, MA's National Provider Identifier is 1407346125, issued on May 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on May 17, 2018.