Individual
AMY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9139 RIDGELINE BLVD, HIGHLANDS RANCH, CO 80129-2333
(303) 471-7718
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5402
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022340
KAISER COMMERCIAL NUMBER
CO
05
—
87130548
—
CO
Enumeration date
03/26/2007
Last updated
04/20/2021
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