Individual
MR. CHARLES ROBERT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT LMHC NCC
Contact information
Practice address
613 CHERRY ST, ST MARYS MINISTRY CENTER, EVANSVILLE, IN 47713-1807
(812) 425-1577
(812) 426-1416
Mailing address
613 CHERRY ST, ST MARYS MINISTRY CENTER, EVANSVILLE, IN 47713-1807
(812) 425-1577
(812) 426-1416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000879A
IN
106H00000X
Marriage & Family Therapist
Primary
35000349A
IN
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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