Individual
CARLTON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5896 CREEKSIDE LN, ROCKFORD, IL 61114-6466
(815) 670-5791
Mailing address
5896 CREEKSIDE LN, ROCKFORD, IL 61114-6466
(815) 670-5791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.011962
IL
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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