Individual
KRISTINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
15300 PEARL RD, STRONGSVILLE, OH 44136-5091
(216) 536-6248
Mailing address
4430 SIR RICHARD AVE, NORTH ROYALTON, OH 44133-4135
(162) 536-6248
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1700093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221641
—
OH
05
—
1473276
—
OH
Enumeration date
12/28/2016
Last updated
10/29/2021
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