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Tennis Shane Martin, LPC,MA
Professional Counselor in Aurora, Colorado
NPI 1598162612

Tennis Shane Martin is a Professional Counselor based in Aurora, CO and is specialized in Professional. Tennis Shane Martin practices in Aurora, CO and has the professional credentials of LPC,MA. The NPI Number for Tennis Shane Martin is 1598162612 and holds a License No. 356 (Colorado).

The current practice location address for Tennis Shane Martin is 1390/1400 Chambers Rd, Aurora, CO and can be reached out via phone at 719-429-2356.

Location: 1390/1400 Chambers Rd, Aurora, CO, 80014
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Provider Profile Details
NPI Number
1598162612
Provider Name
Tennis Shane Martin
Credential
LPC,MA
Provider Entity Type
Individual
Gender
Male
Address
1390/1400 Chambers Rd, Aurora, CO, 80014
Phone Number
719-429-2356
Fax Number
Provider Enumeration Date
12/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12781010 01 CO CAQH
institution
Provider Business Practice Location Address Details
Address
1390/1400 Chambers Rd
City
State
Zip
80011
Phone Number
719-429-2356
Fax Number
person
Provider Business Mailing Address Details
Address
1390/1400 Chambers Rd
City
State
Zip
80011
Phone Number
719-429-2356
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
356 (Colorado)
Definition
Definition to come...
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