Individual
PEGGY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3675 IHDUHAPI RD, LORETTO, MN 55357-2120
(763) 479-3555
(763) 479-2605
Mailing address
3675 IHDUHAPI RD, LORETTO, MN 55357-2120
(763) 479-3555
(763) 479-2605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00869
MN
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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