Individual provider · Type 1 NPI

Amanda Gail Martin, LPC

Mental Health Counselor · Rolla, MO

NPI number 1710314919 Active

Practice location

1450 E 10th St
Rolla, MO 65401-3648

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2013033662 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1710314919

Amanda Gail Martin, LPC's National Provider Identifier is 1710314919, issued on Oct 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rolla, MO. The record was last updated on Sep 27, 2019.