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Andrea Martin

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANDREA MARTIN17903876782020-11-15
Entity TypeIndividual
Provider Name Andrea Martin LPC
Practice Office Address603 N WAYNE ST
ANGOLA, IN US
Practice Office Telephone2606688797
Practice Office Fax2606651620
Mailing AddressPO BOX 98
ANGOLA, IN 467030098 US
Business Telephone2606688797
Business Fax2606651620
HPT Codes
CodeLicense NoState
101Y00000X PRIMARY6401010001 MI
OPI Codes

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