MRS. Petrea Mary Martin, LCPC

NPI #1255665857 in Poplar, Montana

Provider Information

NPI Number: 1255665857
Entity Type: Individual
Name: MRS. Petrea Mary Martin, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Sep 29, 2009
Last Updated: Sep 29, 2009

Practice Location

Address: 400 4TH AVENUE WEST
City: Poplar
State: Montana
ZIP Code: 59255
Phone: (406) 768-6763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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