Amanda Lyn Marti, LPC

NPI #1629541586 in Breese, Illinois

Provider Information

NPI Number: 1629541586
Entity Type: Individual
Name: Amanda Lyn Marti, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 3, 2019
Last Updated: Aug 19, 2019

Practice Location

Address: 644 N 2ND ST STE 4
City: Breese
State: Illinois
ZIP Code: 62230-1614
Phone: (314) 881-8135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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