person
Mr. Kenneth Noel Martin, MA,LPC
Mental Health Counselor in Bloomington, Illinois
NPI 1861031148

Kenneth Noel Martin is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Kenneth Noel Martin practices in Bloomington, IL and has the professional credentials of MA,LPC. The NPI Number for Kenneth Noel Martin is 1861031148 and holds a License No. 178.015534 (Illinois).

The current practice location address for Kenneth Noel Martin is 616 Iaa Dr, Bloomington, IL and can be reached out via phone at 309-838-7777.

Location: 616 Iaa Dr, Bloomington, IL, 61704-3627
person
Provider Profile Details
NPI Number
1861031148
Provider Name
Kenneth Noel Martin
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
616 Iaa Dr, Bloomington, IL, 61704-3627
Phone Number
309-838-7777
Fax Number
Provider Enumeration Date
01/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
616 Iaa Dr
City
State
Zip
61701-2225
Phone Number
309-838-7777
Fax Number
person
Provider Business Mailing Address Details
Address
616 Iaa Dr
City
State
Zip
61701-2225
Phone Number
309-838-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.015534 (Illinois)
Definition
Definition to come...
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