MRS. Misty Martin, LISAC

NPI #1457890089 in Kingman, Arizona

Provider Information

NPI Number
1457890089
Entity Type
Individual
Name
MRS. Misty Martin, LISAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LISAC
Enumeration Date
Feb 15, 2017
Last Updated
Feb 15, 2017

Practice Location

Address
915 AIRWAY AVE
State
Arizona
ZIP Code
86409-3570
Phone
(928) 718-4800

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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