KENNETH LEON MARTIN MA LPC NPI 1093899007

NPI Information

NPI: 1093899007
Provider Name: KENNETH LEON MARTIN, MA, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
105 PACES BROOK AVE
#10518
COLUMBIA, SC
ZIP 29212
Phone: (803) 467-4125
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Kenneth Leon Martin, MA, LPC is a mental health counselor in Columbia, SC. Kenneth Leon Martin, MA, LPC NPI is 1093899007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 PACES BROOK AVE
#10518
COLUMBIA, SC
ZIP 29212-642
Phone: (803) 467-4125
Fax: (803) 497-3920

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	4941	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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