Provider Demographics
NPI:1972010593
Name:MARTIN, MARGARET CATHERINE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CATHERINE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 OAKMONT CIR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-6626
Mailing Address - Country:US
Mailing Address - Phone:254-291-8339
Mailing Address - Fax:
Practice Address - Street 1:79 OAKMONT CIR
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-6626
Practice Address - Country:US
Practice Address - Phone:254-291-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional