Individual provider · Type 1 NPI

Tara Martin, LVN

Addiction (Substance Use Disorder) Counselor · Wilmington, CA

NPI number 1275765836 Active

Practice location

117 E Harry Bridges Blvd
Wilmington, CA 90744-5825

Call (310) 549-8383 Map

Fax (310) 549-9304

Mailing address

PO Box 5796
Lancaster, CA 93539-5796

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X188768 (CA)

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

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About NPI 1275765836

Tara Martin, LVN's National Provider Identifier is 1275765836, issued on Aug 17, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, CA. The record was last updated on Aug 17, 2009.