Individual provider · Type 1 NPI

Tina Martin, LCP

Professional Counselor · Metropolis, IL

NPI number 1992157283 Active

Practice location

206 W 5th St
Metropolis, IL 62960-1810

Call (618) 524-9368 Map

Mailing address

595 Barter Rd
Harrisburg, IL 62946-4102

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500X178.003185 (IL)

Professional Counselor: Definition to come...

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About NPI 1992157283

Tina Martin, LCP's National Provider Identifier is 1992157283, issued on Jul 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Metropolis, IL. The record was last updated on Aug 16, 2016.