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Tracy Lea Martin
Counselor in Wagoner, Oklahoma
NPI 1053531855

Tracy Lea Martin is a Counselor based in Wagoner, OK. Tracy Lea Martin practices in Wagoner, OK. The NPI Number for Tracy Lea Martin is 1053531855 and holds a License No. (Oklahoma).

The current practice location address for Tracy Lea Martin is 109 S Harrill, Wagoner, OK and can be reached out via phone at 918-485-3554 and via fax at 918-485-8371.

Location: 109 S Harrill, Wagoner, OK, 74467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053531855
Provider Name
Tracy Lea Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 S Harrill, Wagoner, OK, 74467
Phone Number
918-485-3554
Fax Number
918-485-8371
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
109 S Harrill
City
Wagoner
State
Oklahoma
Zip
74467
Phone Number
918-485-3554
Fax Number
918-485-8371
person
Provider Business Mailing Address Details
Address
109 S Harrill
City
Wagoner
State
Oklahoma
Zip
74467
Phone Number
918-485-3554
Fax Number
918-485-8371
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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