Individual provider · Type 1 NPI

Candice Y. Martin

Mental Health Counselor · Fayetteville, AR

NPI number 1023361789 Active

Practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 695-1240 Map

Fax (479) 750-4843

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023361789

Candice Y. Martin's National Provider Identifier is 1023361789, issued on Oct 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 5, 2016.