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Kristen Jean Martin, MATSLSW
Counselor in Gary, Indiana
NPI 1811543697

Kristen Jean Martin is a Counselor based in Gary, IN. Kristen Jean Martin practices in Gary, IN and has the professional credentials of MATSLSW. The NPI Number for Kristen Jean Martin is 1811543697 and holds a License No. 99090505A (Indiana).

The current practice location address for Kristen Jean Martin is 8000 Melton Rd, Gary, IN and can be reached out via phone at 219-938-4651 and via fax at 219-938-4679.

Location: 8000 Melton Rd, Gary, IN, 46403-3114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811543697
Provider Name
Kristen Jean Martin
Credential
MATSLSW
Provider Entity Type
Individual
Gender
Female
Address
8000 Melton Rd, Gary, IN, 46403-3114
Phone Number
219-938-4651
Fax Number
219-938-4679
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841412996 05 IN
institution
Provider Business Practice Location Address Details
Address
8000 Melton Rd
City
Gary
State
Indiana
Zip
46403-3114
Phone Number
219-938-4651
Fax Number
219-938-4679
person
Provider Business Mailing Address Details
Address
8000 Melton Rd
City
Gary
State
Indiana
Zip
46403-3114
Phone Number
219-938-4651
Fax Number
219-938-4679
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
99090505A (Indiana)
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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