MEDICARE: ALLISON MARTONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	178.019952	IL

General Provider Information

NPI Number	:	1174389126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MARTONE

Provider Business Mailing Address
First Line	:	2003 N POINT ST APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4016
Country	:	US
Telephone Number	:	818-667-8952
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 S CIMARRON RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7902
Country	:	US
Telephone Number	:	725-257-3983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	06/17/2026

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Directions to “ ALLISON MARTONE ” Practice Location

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