Individual
DEBORAH M ARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
911 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2131
Mailing address
911 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002284
IL
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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