Nicole Martin, BA

NPI #1619127651 in Logansport, Indiana

Provider Information

NPI Number: 1619127651
Entity Type: Individual
Name: Nicole Martin, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Sep 26, 2008
Last Updated: Sep 26, 2008

Practice Location

Address: 1015 MICHIGAN AVE
City: Logansport
State: Indiana
ZIP Code: 46947-1526
Phone: (574) 722-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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