Jacqueline Martin
Counselor, Mental Health in Springfield, OR. Individual provider (NPI-1).
NPI number1508313610
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1508313610
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2016
- Certification date
- May 6, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
180 W B StBldg B2
Springfield, OR 97477
Phone 414-232-6335 · Fax 541-299-5685
Mailing address
5411 E StSpringfield, OR 97478-6164
Phone 440-665-5274
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