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Mo Martin, LPC-A

Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).

NPI number1629802483
StatusActive
Last updated in NPPESAug 26, 2024

Details

NPI
1629802483
Entity type
Individual (NPI-1)
Name
Mo Martin
Credential
LPC-A
Sex
Male
Sole proprietor
No
Enumeration date
Aug 26, 2024
Certification date
Aug 26, 2024
Last updated
Aug 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional95614TXYes

Practice location

905 W Cantey St
Fort Worth, TX 76110-3205

Phone 817-382-1876

Mailing address

520 Samuels Ave Apt 9104
Fort Worth, TX 76102-8635

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