Individual
DESIREE LAUREL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC S
Contact information
Practice address
1901 RICKETY LN STE 209, TYLER, TX 75703-1703
(903) 330-0601
Mailing address
1901 RICKETY LN STE 209, TYLER, TX 75703-1703
(903) 330-0601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69162
TX
Other
Enumeration date
11/15/2021
Last updated
03/04/2026
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