Individual
MS. JENIFER A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1324 S BECKHAM AVE, SUITE 112, TYLER, TX 75701-3322
(866) 500-1849
(866) 378-3464
Mailing address
1324 S BECKHAM AVE, SUITE 112, TYLER, TX 75701-3322
(866) 500-1849
(866) 378-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63588
TX
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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