SearchIllinois101YP2500X

Tina Martin, LCP

NPI 1992157283 · on the registry since 2016 · sole proprietor

Practice

Address
206 W 5th St
Metropolis, IL 62960
Phone
(618) 524-9368
Organisation at this address
Massac County Mental Health
Massac County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-16

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 Illinois