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Tina Martin, LCP
Professional Counselor in Metropolis, Illinois
NPI 1992157283

Tina Martin is a Professional Counselor based in Harrisburg, IL and is specialized in Professional. Tina Martin practices in Metropolis, IL and has the professional credentials of LCP. The NPI Number for Tina Martin is 1992157283 and holds a License No. (Illinois).

The current practice location address for Tina Martin is 206 W 5Th St, Metropolis, IL and can be reached out via phone at 618-524-9368.

Location: 206 W 5Th St, Metropolis, IL, 62946-4102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992157283
Provider Name
Tina Martin
Credential
LCP
Provider Entity Type
Individual
Gender
Female
Address
206 W 5Th St, Metropolis, IL, 62946-4102
Phone Number
618-524-9368
Fax Number
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
206 W 5Th St
City
Metropolis
State
Illinois
Zip
62960-1810
Phone Number
618-524-9368
Fax Number
person
Provider Business Mailing Address Details
Address
206 W 5Th St
City
Metropolis
State
Illinois
Zip
62960-1810
Phone Number
618-524-9368
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
178.003185 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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