Individual
MRS. NICOLE L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6915 CRUMPLER BLVD STE A, OLIVE BRANCH, MS 38654-1907
(601) 500-1132
Mailing address
6915 CRUMPLER BLVD STE A, OLIVE BRANCH, MS 38654-1907
(601) 500-1132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2007
Last updated
07/16/2020
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