Individual provider · Type 1 NPI
Tayo Martin, LPC
Mental Health Counselor · Chicago, IL
NPI number
1679376578
Active
Practice location
1550 S Indiana Ave
Chicago, IL 60605-2857
Mailing address
7653 S Paxton Ave
Chicago, IL 60649-4134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 178.020942 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1679376578
Tayo Martin, LPC's National Provider Identifier is 1679376578, issued on Mar 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Mar 28, 2025.