Individual
NICOLE LEAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 CHOCTAW TRCE, CHEROKEE VILLAGE, AR 72529-2702
(870) 972-4939
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336294719
—
AR
Enumeration date
07/17/2018
Last updated
03/05/2026
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