Individual provider · Type 1 NPI
Tracy E. Martin, M.S.ED., LCPC
Professional Counselor · Machesney Park, IL
NPI number
1508189176
Active
Practice location
7700 N 2nd St
Machesney Park, IL 61115-2872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180006311 (IL) |
Professional Counselor: Definition to come...
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About NPI 1508189176
Tracy E. Martin, M.S.ED., LCPC's National Provider Identifier is 1508189176, issued on Mar 10, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Machesney Park, IL. The record was last updated on Mar 7, 2014.