Individual
MRS. KRISTINE LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
250 S 4TH ST, PSC ROOM 510, MINNEAPOLIS, MN 55415-1335
(612) 673-2301
(612) 668-4405
Mailing address
1906 W 54TH ST, MINNEAPOLIS, MN 55419-1513
(612) 824-0856
(612) 668-4405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00463
MN
Other
Enumeration date
03/21/2012
Last updated
05/16/2012
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