MR. Kenneth Noel Martin, MA, LPC
NPI #1861031148 in Bloomington, Illinois
Provider Information
- NPI Number
- 1861031148
- Entity Type
- Individual
- Name
- MR. Kenneth Noel Martin, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, LPC
- Enumeration Date
- Jan 3, 2020
- Last Updated
- Jan 3, 2020
Practice Location
- Address
- 616 IAA DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-2225
- Phone
- (309) 838-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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