Individual provider · Type 1 NPI

Tara Martin

Mental Health Counselor · Soper, OK

NPI number 1922421098 Active

Practice location

HC 71 Box 1A
Soper, OK 74759-9721

Mailing address

PO Box 102
Bennington, OK 74723-0102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922421098

Tara Martin's National Provider Identifier is 1922421098, issued on Jan 27, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Soper, OK. The record was last updated on Dec 6, 2017.