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Individual
MELISSA MARTIN
Active
Individual
MELISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.012613
IL
101YP2500X
Professional Counselor
Primary
180.012812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094307603
GOLDEN RULE- A UNITED HEALTHCARE COMPANY
IL
Enumeration date
09/22/2017
Last updated
09/19/2024
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