Individual provider · Type 1 NPI
Carolyn Rae Martin, LADC
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1659870053
Active
Practice location
1406 6th Ave N
St. Cloud, MN 56303-1900
Fax (320) 656-7009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300544 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659870053
Carolyn Rae Martin, LADC's National Provider Identifier is 1659870053, issued on Feb 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 12, 2018.