Individual provider · Type 1 NPI

Gloria Ann Martin, LCPC

Mental Health Counselor · Dixon, IL

NPI number 1689759201 Active

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Mailing address

212 Crawford Ave
Dixon, IL 61021-3136

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689759201

Gloria Ann Martin, LCPC's National Provider Identifier is 1689759201, issued on Oct 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Jul 8, 2007.