Jessica T Martin, LADC 1, LMHC
Counselor, Addiction (Substance Use Disorder) in Charlton, Massachusetts
1427505635- Practice location
- 131 Muggett Hill RD Apt 3, Charlton, MA 01507-1346
- Phone
- 508-688-5175
- Fax
- —
- Last updated
- April 6, 2023
Jessica Tyler Martin is a Counselor, Addiction (Substance Use Disorder) based in Charlton, MA. Jessica Tyler Martin practices in Charlton, MA and has the professional credentials of LADC 1, LMHC. The NPI Number for Jessica Tyler Martin is 1427505635 and holds a License No. 13501 (MA). The current practice location address for Jessica Tyler Martin is 131 Muggett Hill RD Apt 3, Charlton, MA 01507-1346 and can be reached out via phone at 508-688-5175.
Provider Profile Details
- NPI Number
- 1427505635
- Provider Name
- Jessica Tyler Martin
- Credential
- LADC 1, LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 131 Muggett Hill RD Apt 3, Charlton, MA 01507-1346
- Phone Number
- 508-688-5175
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2016
- Last Update Date
- April 6, 2023
- Certification Date
- April 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Muggett Hill RD Apt 3
Charlton, MA 01507-1346 - City
- Charlton
- State
- Massachusetts
- Zip
- 01507-1346
- Phone Number
- 508-688-5175
Provider Business Mailing Address Details
- Address
- 4 Scenic Dr
Worcester, MA 01602-2224 - City
- Worcester
- State
- MA
- Zip
- 01602-2224
- Phone Number
- 508-688-5175
License Information
- License Number
- 13501
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica T Martin, LADC 1, LMHC?
The NPI number of Jessica T Martin, LADC 1, LMHC is 1427505635. It was assigned on September 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Jessica T Martin, LADC 1, LMHC?
Jessica T Martin, LADC 1, LMHC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 13501.
Where does Jessica T Martin, LADC 1, LMHC practice?
The practice location is 131 Muggett Hill RD Apt 3, Charlton, MA 01507-1346. The office can be reached at 508-688-5175 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427505635 directly on the NPPES registry website.