NPI 1255665857

Petrea Mary Martin, LCPC

Practitioner Mental Health Counselor Poplar, MT

Practice location

Address: 400 4th Avenue West, Poplar, MT 59255
Phone: (406) 768-6763
Fax: (406) 768-6802
Mailing address: 14419 County Road 323, Brockton, MT 59213-9510

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1159-LCPC (MT)

Other Counselor providers in Montana →

Registry record

NPI: 1255665857
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2009
Record last updated: 29 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.