Individual
MS. JEANNETTE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0689
KY
106H00000X
Marriage & Family Therapist
Primary
105400
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100295830
—
KY
Enumeration date
07/06/2010
Last updated
06/10/2024
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