Scott Austin Martin, LPC INTERN

NPI #1437523255 in Tyler, Texas

Provider Information

NPI Number: 1437523255
Entity Type: Individual
Name: Scott Austin Martin, LPC INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC INTERN
Enumeration Date: Nov 17, 2015
Last Updated: Nov 17, 2015

Practice Location

Address: 12863 COUNTY ROAD 192
City: Tyler
State: Texas
ZIP Code: 75703-6417
Phone: (903) 258-3166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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