Individual provider · Type 1 NPI
Misty Martin, LISAC
Addiction (Substance Use Disorder) Counselor · Kingman, AZ
NPI number
1457890089
Active
Practice location
915 Airway Ave
Kingman, AZ 86409-3570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 101YA0400X (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1457890089
Misty Martin, LISAC's National Provider Identifier is 1457890089, issued on Feb 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kingman, AZ. The record was last updated on Feb 15, 2017.