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Ms. Jennifer Martin, MSQMRP
Counselor in Vienna, Illinois
NPI 1013146349

Jennifer Martin is a Counselor based in Vienna, IL. Jennifer Martin practices in Vienna, IL and has the professional credentials of MSQMRP. The NPI Number for Jennifer Martin is 1013146349 and holds a License No. (Illinois).

The current practice location address for Jennifer Martin is 408 E Vine St, Vienna, IL and can be reached out via phone at 618-658-2611 and via fax at 618-658-2501. You can also correspond with Jennifer Martin through the mailing address at PO BOX 171, VIENNA, IL - 62995-0171 (mailing address contact number: 618-542-5779).

Location: 408 E Vine St, Vienna, IL, 62995-0171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013146349
Provider Name
Jennifer Martin
Credential
MSQMRP
Provider Entity Type
Individual
Gender
Female
Address
408 E Vine St, Vienna, IL, 62995-0171
Phone Number
618-658-2611
Fax Number
618-658-2501
Provider Enumeration Date
07/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 E Vine St
City
Vienna
State
Illinois
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider Business Mailing Address Details
Address
Po Box 171
City
Vienna
State
Illinois
Zip
62995-0171
Phone Number
618-542-5779
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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