Individual provider · Type 1 NPI

Jesse Collin Martin

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1346473642 Active

Practice location

3315 Airway Dr
Santa Rosa, CA 95403-2005

Fax (707) 526-3817

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1346473642

Jesse Collin Martin's National Provider Identifier is 1346473642, issued on Sep 2, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 2, 2009.