Individual provider · Type 1 NPI
Vicki Martino
Addiction (Substance Use Disorder) Counselor · Pekin, IL
NPI number
1154743037
Active
Practice location
3248 Vandever Ave
Pekin, IL 61554-6257
Fax (309) 347-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154743037
Vicki Martino's National Provider Identifier is 1154743037, issued on Jan 13, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pekin, IL. The record was last updated on Jan 13, 2014.