Individual provider · Type 1 NPI

Derek Martin, SUDCC

Addiction (Substance Use Disorder) Counselor · Auburn, CA

NPI number 1720788862 Active

Practice location

11512 B Ave
Auburn, CA 95603-2605

Call (530) 886-2933 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9783 (CA)

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

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About NPI 1720788862

Derek Martin, SUDCC's National Provider Identifier is 1720788862, issued on Mar 7, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Auburn, CA. The record was last updated on Aug 6, 2024.