person
Mr. Jeffrey Martin, LCSW
Professional Counselor in Rockford, Illinois
NPI 1710145743

Jeffrey Martin is a Professional Counselor based in Rockford, IL and is specialized in Professional. Jeffrey Martin practices in Rockford, IL and has the professional credentials of LCSW. The NPI Number for Jeffrey Martin is 1710145743 and holds a License No. 149003373 (Illinois).

The current practice location address for Jeffrey Martin is 5804 Elaine Dr, Rockford, IL and can be reached out via phone at 815-397-7654 and via fax at 815-397-2712.

Location: 5804 Elaine Dr, Rockford, IL, 61108-2435
person
Provider Profile Details
NPI Number
1710145743
Provider Name
Jeffrey Martin
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
5804 Elaine Dr, Rockford, IL, 61108-2435
Phone Number
815-397-7654
Fax Number
815-397-2712
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5804 Elaine Dr
City
State
Zip
61108-2435
Phone Number
815-397-7654
Fax Number
815-397-2712
person
Provider Business Mailing Address Details
Address
5804 Elaine Dr
City
State
Zip
61108-2435
Phone Number
815-397-7654
Fax Number
815-397-2712
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
149003373 (Illinois)
Definition
Definition to come...
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