Individual
MRS. AMY R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1380 CENTRAL PARK BLVD STE 204, FREDERICKSBURG, VA 22401-4926
(540) 602-2545
Mailing address
334 GARFIELD CT, FREDERICKSBURG, VA 22408-1919
(501) 650-6333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC2428
KS
101YP2500X
Professional Counselor
P1312113
AR
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201120830A
—
KS
Enumeration date
08/09/2010
Last updated
08/06/2025
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