Individual
JAMIE RENEE MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
(618) 397-4503
Mailing address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
(618) 397-4503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.007652
IL
101YM0800X
Mental Health Counselor
Primary
180.007652
IL
101YP2500X
Professional Counselor
180007652
IL
Other
Enumeration date
04/20/2011
Last updated
11/13/2023
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