Individual provider · Type 1 NPI

Kenneth Scott Martin, CADC

Addiction (Substance Use Disorder) Counselor · Rockford, IL

NPI number 1255438362 Active

Practice location

4940 E State St
Rockford, IL 61108-2270

Fax (815) 387-5316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13193 (IL)

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

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About NPI 1255438362

Kenneth Scott Martin, CADC's National Provider Identifier is 1255438362, issued on Sep 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.