Individual
JANEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
3465 192ND ST, LANSING, IL 60438-3813
(708) 889-6256
Mailing address
3465 192ND ST, LANSING, IL 60438-3813
(708) 889-6256
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001054A
IN
Other
Enumeration date
08/31/2011
Last updated
11/01/2012
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