JORDAN MARTIN MA, NCC, LPC
NPI 1225645807
Counselor - Professional in Marina Del Rey, CA
- Individual
- Female
- Counselor
- Professional
About JORDAN MARTIN
This page provides the complete NPI Profile along with additional information for Jordan Martin, a provider established in Marina Del Rey, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1225645807 assigned on September 2020. The practitioner's primary taxonomy code is 101YP2500X with license number PC012365 (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1225645807 Verify this NPI
- Provider Name
- JORDAN MARTIN MA, NCC, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4065 GLENCOE AVE MARINA DEL REY, CA 90292
- Location Phone
- (610) 570-4507
- Mailing Address
- 4065 GLENCOE AVE APT 310 MARINA DEL REY, CA 90292
- Mailing Phone
- (610) 570-4507
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-28-2020
- Last Update Date
- 09-28-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC012365
- License State
- PA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225645807, enumerated as an "individual" on September 28, 2020.
The provider is located at 4065 GLENCOE AVE MARINA DEL REY, CA 90292 and the phone number is (610) 570-4507.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
