Individual provider · Type 1 NPI
Jacqueline Martin
Mental Health Counselor · Springfield, OR
NPI number
1508313610
Active
Practice location
180 W B St, Bldg B2
Springfield, OR 97477
Fax (541) 299-5685
Mailing address
5411 E St
Springfield, OR 97478-6164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1508313610
Jacqueline Martin's National Provider Identifier is 1508313610, issued on Sep 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on May 13, 2025.