| NPI | 1477202471 |
|---|---|
| Doing Business As | GINA MARTIN, LPC |
| Entity Type | Organization |
| Authorized Contact | GINA MARTIN Lpc 254-644-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |