Individual provider · Type 1 NPI
Beth Michelle Martin
Addiction (Substance Use Disorder) Counselor · Pueblo, CO
NPI number
1780129031
Active
Practice location
41 Montebello Rd, Suite 104
Pueblo, CO 81001-1379
Fax (719) 584-0110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACB.0007949 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1780129031
Beth Michelle Martin's National Provider Identifier is 1780129031, issued on Dec 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo, CO. The record was last updated on Dec 22, 2016.