MS. Tracy E Martin, M.S.ED., LCPC
NPI #1508189176 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1508189176
- Entity Type
- Individual
- Name
- MS. Tracy E Martin, M.S.ED., LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M.S.ED., LCPC
- Enumeration Date
- Mar 10, 2010
- Last Updated
- Mar 7, 2014
Practice Location
- Address
- 7700 N 2ND ST
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-2872
- Phone
- (815) 289-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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