Individual
GINA C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NORTH SHORE DR, LAKE BLUFF, IL 60044-2243
(847) 271-8023
Mailing address
63 COLCHESTER DR, IOWA CITY, IA 52245-9333
(847) 271-8023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178013726
IL
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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