Individual provider · Type 1 NPI

Kimberly Lisle Martin, LPC

Professional Counselor · Jasper, GA

NPI number 1437419702 Active

Practice location

323 Roland Rd
Jasper, GA 30143-5336

Fax (706) 253-1120

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC003867 (GA)

Professional Counselor: Definition to come...

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About NPI 1437419702

Kimberly Lisle Martin, LPC's National Provider Identifier is 1437419702, issued on May 21, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jasper, GA. The record was last updated on May 21, 2012.