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Individual
MS. KELLY ANN MARTIN
Active
Individual
MS. KELLY ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
70902
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDC
TX
101YP2500X
Professional Counselor
Primary
70902
TX
Other
Enumeration date
01/18/2016
Last updated
02/15/2023
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