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Individual
NANCY MARTIN
Active
Individual
NANCY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC-CS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
892699
OH
101YM0800X
Mental Health Counselor
E1817
OH
101YP2500X
Professional Counselor
Primary
E1817
OH
Other
Enumeration date
05/29/2014
Last updated
10/06/2016
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