Individual
MARK ST. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1903 W. MICHIGAN AVE., CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES, KALAMAZOO, MI 49008-5226
(269) 387-5105
Mailing address
1903 W. MICHIGAN AVE., CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES, KALAMAZOO, MI 49008-5226
(269) 387-5105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401009274
MI
103TC1900X
Counseling Psychologist
Primary
6301013841
MI
Other
Enumeration date
02/11/2013
Last updated
05/09/2014
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