Individual
MRS. KIMBERLY ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 SW COLORADO AVE, SUITE 350, BEND, OR 97702-1150
(541) 647-8553
(541) 408-9016
Mailing address
15 SW COLORADO AVE, SUITE 350, BEND, OR 97702-1150
(541) 647-8553
(541) 408-9016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2622
OR
Other
Enumeration date
04/28/2008
Last updated
10/13/2022
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