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NPI Code Detail

MEDICARE: CHRISTINA MARTIN LPC, LMFT

MEDICARE: CHRISTINA MARTIN LPC, LMFT
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
1101YP2500XProfessional CounselorP1411099AR
2106H00000XMarriage & Family TherapistM1411010AR

General Provider Information

NPI Number : 1497012264
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARTIN LPC, LMFT
Provider Business Mailing Address
First Line : 400 S MAIN ST STE 100
Second Line :
City : SEARCY
State : AR
Zip : 72143-7801
Country : US
Telephone Number : 501-279-9000
Fax Number : 501-279-9011
Provider Business Practice Location Address
First Line : 400 S MAIN ST STE 100
Second Line :
City : SEARCY
State : AR
Zip : 72143-7801
Country : US
Telephone Number : 501-279-9000
Fax Number : 501-279-9011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2012
Last Update Date : 02/20/2017

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Directions to “ CHRISTINA MARTIN LPC, LMFT” Practice Location

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