Individual provider · Type 1 NPI

Martin Oliver Iii, CADC-CAS

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1144630799 Active

Practice location

1235 Mchenry Ave # Siutesa
Modesto, CA 95350-5370

Call (209) 527-4597 Map

Mailing address

1215 Melrose Ave
Modesto, CA 95350-5506

Specialties and licenses

TaxonomyCodeLicense
Technician 374700000XRCAS-I 13533 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1144630799

Martin Oliver Iii, CADC-CAS's National Provider Identifier is 1144630799, issued on May 5, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Aug 4, 2021.