Individual provider · Type 1 NPI

Mary Martin, LPC

Professional Counselor · Pueblo, CO

NPI number 1962544015 Active

Practice location

1304 Chinook Ln
Pueblo, CO 81001-1851

Fax (719) 584-0119

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1962544015

Mary Martin, LPC's National Provider Identifier is 1962544015, issued on Feb 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pueblo, CO. The record was last updated on Jul 8, 2007.