What is Kris Martin's NPI number?

The NPI number assigned to this healthcare provider is 1225464621, enumerated as a individual on September 18, 2013.

Where is the provider located?

The provider is located at 109 W WATAUGA AVE JOHNSON CITY, TN 37604 and the phone number is (423) 232-2600.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

KRIS E MARTIN - NPI 1225464621 - Counselor in Johnson City, TN

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About Kris E Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRIS E MARTIN (NPI 1225464621) is an individual counselor in Johnson City, Tennessee and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1225464621

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKRIS E MARTIN

Location Address109 W WATAUGA AVEJohnson City, TN 37604-5621

Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644

Phone(423) 232-2600

Fax(423) 467-3644

Sole ProprietorNo

Enumeration DateSeptember 18, 2013

✔ NPI 1225464621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

109 W WATAUGA AVE, Johnson City, TN 37604

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