Individual provider · Type 1 NPI

David Martin, BA MHP

Mental Health Counselor · Vienna, IL

NPI number 1467044420 Active

Practice location

101 Oliver St
Vienna, IL 62995-1660

Call (618) 658-2611 Map

Fax (618) 658-2501

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467044420

David Martin, BA MHP's National Provider Identifier is 1467044420, issued on Feb 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vienna, IL. The record was last updated on Feb 10, 2021.