Individual provider · Type 1 NPI
Marvin R. Martine, LISAC
Addiction (Substance Use Disorder) Counselor · Sanders, AZ
NPI number
1104037803
Active
Practice location
4 Mls S Of I-40 On Hwy 191, Sanders
Sanders, AZ 86512-1086
Fax (928) 688-3478
Mailing address
PO Box 1086
Sanders, AZ 86512-1086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11363 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Sanders
About NPI 1104037803
Marvin R. Martine, LISAC's National Provider Identifier is 1104037803, issued on May 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sanders, AZ. The record was last updated on Jul 8, 2007.