Individual
KELLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N OTTAWA ST STE 245, JOLIET, IL 60432-4378
(833) 777-6352
Mailing address
54 N OTTAWA ST STE 245, JOLIET, IL 60432-4378
(833) 777-6352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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