Individual provider · Type 1 NPI

Mo Martin, LPC-A

Professional Counselor · Fort Worth, TX

NPI number 1629802483 Active

Practice location

905 W Cantey St
Fort Worth, TX 76110-3205

Mailing address

520 Samuels Ave Apt 9104
Fort Worth, TX 76102-8635

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X95614 (TX)

Professional Counselor: Definition to come...

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About NPI 1629802483

Mo Martin, LPC-A's National Provider Identifier is 1629802483, issued on Aug 26, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 26, 2024.