Individual
OLIVIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
210 E LOVE ST, MEXICO, MO 65265-2880
(660) 322-9651
Mailing address
210 E LOVE ST, MEXICO, MO 65265-2880
(660) 322-9651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025024575
MO
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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