KENNETH NOEL MARTIN

BLOOMINGTON, IL
NPI1861031148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.015534)
Enumeration Date2020-01-03
Last Update Date2020-01-03
Business Address
Mr. KENNETH NOEL MARTIN MA, LPC
616 IAA DR
BLOOMINGTON, IL 61701-2225
Phone number: 309-838-7777
Mailing Address
Mr. KENNETH NOEL MARTIN MA, LPC
2509 SLAYTON DR
BLOOMINGTON, IL 61704-3627
Phone number: 309-838-7777
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