Individual
ALEXIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LCDC III
Contact information
Practice address
3455 CENTERPOINT DR STE J, URBANCREST, OH 43123-1498
(614) 638-6493
Mailing address
3971 HOOVER RD STE 247, GROVE CITY, OH 43123-2839
(614) 638-6493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0500460
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.101108
OH
101YM0800X
Mental Health Counselor
E.0500460
OH
Other
Enumeration date
03/14/2018
Last updated
11/13/2018
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