Individual provider · Type 1 NPI

Shane Douglas Martin, CRM

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1417439092 Active

Practice location

1333 NW 9th St
Prineville, OR 97754-1482

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 1417439092

Shane Douglas Martin, CRM's National Provider Identifier is 1417439092, issued on Aug 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Aug 30, 2018.