Individual provider · Type 1 NPI

Jerry Martin

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1083064562 Active

Practice location

4411 N Cedar Ave Ste 108
Fresno, CA 93726-2538

Call (559) 248-1548 Map

Fax (559) 248-1530

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20098N (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083064562

Jerry Martin's National Provider Identifier is 1083064562, issued on Jun 15, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jun 16, 2016.