Individual
CRISTIN R MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
323 E GRAND ST, SPRINGFIELD, MO 65807-1447
(417) 761-5600
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010009691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494126204
—
MO
Enumeration date
03/11/2010
Last updated
03/22/2019
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