Martin, Michele Marion
Martin, Michele Marion is an sole proprietor health care provider with primary practice located at 636 Church St Suite 601, Evanston IL 60201-4508. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Martin, Michele Marion can be contacted via phone (847) 624-2776.Contact Information
Primary practice address
636 Church St Suite 601
Evanston IL 60201-4508
Phone: (847) 624-2776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166000697 | Illinois |
Profile Details
| NPI number | 1942404264 |
|---|---|
| LBN Legal business name | Martin, Michele Marion |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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