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Michael Jack Martin, MAMFTI
Mental Health Counselor in Springfield, Oregon
NPI 1912268384

Michael Jack Martin is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Michael Jack Martin practices in Springfield, OR and has the professional credentials of MAMFTI. The NPI Number for Michael Jack Martin is 1912268384 and holds a License No. 70797 (Oregon).

The current practice location address for Michael Jack Martin is 175 W B St Ste C, Springfield, OR and can be reached out via phone at 541-423-2633.

Location: 175 W B St Ste C, Springfield, OR, 97477-0142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912268384
Provider Name
Michael Jack Martin
Credential
MAMFTI
Provider Entity Type
Individual
Gender
Male
Address
175 W B St Ste C, Springfield, OR, 97477-0142
Phone Number
541-423-2633
Fax Number
Provider Enumeration Date
06/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70797 01 CA BBS
institution
Provider Business Practice Location Address Details
Address
175 W B St Ste C
City
Springfield
State
Oregon
Zip
97477-4575
Phone Number
541-423-2633
Fax Number
person
Provider Business Mailing Address Details
Address
175 W B St Ste C
City
Springfield
State
Oregon
Zip
97477-4575
Phone Number
541-423-2633
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
T2450 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
70797 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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