Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
540 BAXTER AVE, LOUISVILLE, KY 40204-1154
(502) 410-3703
Mailing address
8019 RED BUD HILL DR, LOUISVILLE, KY 40228-1405
(931) 296-9528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
246760
KY
Other
Enumeration date
09/24/2019
Last updated
03/08/2025
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