Individual
DEBRA D MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
981 FILLMORE ST, EUGENE, OR 97402-4442
(541) 844-4917
Mailing address
93851 HORTON RD, BLACHLY, OR 97412-9744
(541) 925-3019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4181
OR
Other
Enumeration date
06/30/2010
Last updated
03/09/2020
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