Individual provider · Type 1 NPI

Kenneth Noel Martin, MA, LPC

Mental Health Counselor · Bloomington, IL

NPI number 1861031148 Active

Practice location

616 Iaa Dr
Bloomington, IL 61701-2225

Call (309) 838-7777 Map

Mailing address

2509 Slayton Dr
Bloomington, IL 61704-3627

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.015534 (IL)

Mental Health Counselor: Definition to come...

7 other providers at this address

Other mental health counselor providers in Bloomington

See all in Bloomington →

About NPI 1861031148

Kenneth Noel Martin, MA, LPC's National Provider Identifier is 1861031148, issued on Jan 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Jan 3, 2020.