Individual
THOMAS E. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCPC
Contact information
Practice address
3001 GREEN BAY RD, BUILDING 9 116B, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
(224) 610-3869
Mailing address
3001 GREEN BAY RD, BUILDING 9 116B, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
(224) 610-3869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
12/26/2007
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