Individual
OLIVIA LONG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
207 WATERFORD SQ STE 3, MADISON, MS 39110-6881
(601) 751-4180
(601) 429-1186
Mailing address
207 WATERFORD SQ STE 3, MADISON, MS 39110-6881
(601) 751-4180
(601) 429-1186
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2206
MS
Other
Enumeration date
10/11/2018
Last updated
03/09/2026
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