Petrea Martin, LCPC

NPI 1255665857 · on the registry since 2009 · sole proprietor

Practice

Address: 400 4th Avenue West
Poplar, MT 59255
Phone: (406) 768-6763
Fax: (406) 768-6802
Organisation at this address: Poplar High School
Poplar Middle School
Poplar School District
Poplar Elementary School
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana