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Provider Information for 1245941962


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CHRISTOPHER ALLEN MARTIN M.S., LMHC


Sex: Male

NPI: 1245941962
Last Updated: 2022-12-13
Certification Date: 2022-12-13

Details

NameValue
NPI1245941962
Enumeration Date2022-12-13
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1632 STATE ROAD 46 E
BATESVILLE, IN 47006-8824
United States

Phone: 812-883-2404 | Fax:812-883-9649
 
Primary Practice Address 1632 STATE ROAD 46 E
BATESVILLE, IN 47006-8824
United States

Phone: 812-883-2404 | Fax:812-883-9649
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor IN39004297A