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Ms. Jennifer Dawn Martin, LPCC
Mental Health Counselor in Columbus, Ohio
NPI 1104214824

Jennifer Dawn Martin is a Mental Health Counselor based in Columbus, OH and is specialized in Mental Health. Jennifer Dawn Martin practices in Columbus, OH and has the professional credentials of LPCC. The NPI Number for Jennifer Dawn Martin is 1104214824 and holds a License No. E. 1200549 (Ohio).

The current practice location address for Jennifer Dawn Martin is 3040 Riverside Dr Ste 218, Columbus, OH and can be reached out via phone at 614-636-0334 and via fax at 614-548-8663.

Location: 3040 Riverside Dr Ste 218, Columbus, OH, 43221-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104214824
Provider Name
Jennifer Dawn Martin
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
3040 Riverside Dr Ste 218, Columbus, OH, 43221-2551
Phone Number
614-636-0334
Fax Number
614-548-8663
Provider Enumeration Date
01/05/2015
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104214824 05 OH
institution
Provider Business Practice Location Address Details
Address
3040 Riverside Dr Ste 218
City
Columbus
State
Ohio
Zip
43221-2579
Phone Number
614-636-0334
Fax Number
614-548-8663
person
Provider Business Mailing Address Details
Address
3040 Riverside Dr Ste 218
City
Columbus
State
Ohio
Zip
43221-2579
Phone Number
614-636-0334
Fax Number
614-548-8663
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
E. 1200549 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
E. 1200549 (Ohio)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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