Bambi Rae Martin, LPC

NPI #1245350545 in Ada, Oklahoma

Provider Information

NPI Number
1245350545
Entity Type
Individual
Name
Bambi Rae Martin, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Mar 30, 2007
Last Updated
Oct 29, 2010

Practice Location

Address
314 S. BROADWAY
Address 2
SUITE 106
City
Ada
ZIP Code
74820
Phone
(580) 235-0210

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor - ProfessionalProfessional

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