Provider Demographics
NPI:1083264238
Name:MARTIN, DAWN M (LPC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:MARTIN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-4144
Mailing Address - Country:US
Mailing Address - Phone:918-731-2402
Mailing Address - Fax:
Practice Address - Street 1:5200 S YALE AVE STE 600
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7491
Practice Address - Country:US
Practice Address - Phone:918-731-2402
Practice Address - Fax:918-876-3243
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor