Olivia Long Martin, LPC
NPI #1558836080 in Madison, Mississippi
Provider Information
- NPI Number
- 1558836080
- Entity Type
- Individual
- Name
- Olivia Long Martin, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Oct 11, 2018
- Last Updated
- Apr 22, 2021
Practice Location
- Address
- 231 GRAYHAWK DR
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-4010
- Phone
- (601) 751-4180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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