NPI 1255665857 MRS. PETREA MARY MARTIN LCPC BROCKTON MT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Petrea Mary Martin - NPI: 1255665857

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. PETREA MARY MARTIN
NPI Number: 1255665857
Entity Type Code: Individual (1)
Gender: F
Credentials: LCPC
License Number: 1159-LCPC
Business Practice Address: 400 4th Avenue West
Poplar, MT - 59255
Business Phone Number: 4067686763
Business Fax Number: 4067686802
Mailing Address: 14419 County Road 323,
BROCKTON
State: MT
Postal Code: 592139510
Phone Number: 4067875500
Fax Number: 4067875500
NPI Enumeration Date: 09/29/2009
NPI Last Update Date: 09/29/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number: 1159-LCPC
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MT
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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