Individual provider · Type 1 NPI
Marty Fleischman, PhD, MAC
Addiction (Substance Use Disorder) Counselor · Boulder Creek, CA
NPI number
1922290261
Active
Practice location
806 Quigg Way
Boulder Creek, CA 95006-9062
Mailing address
P.o. Box 1272
Boulder Creek, CA 95006-2303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1922290261
Marty Fleischman, PhD, MAC's National Provider Identifier is 1922290261, issued on Aug 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder Creek, CA. The record was last updated on Jan 3, 2012.