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Individual
AMY L. MARTIN
Active
Individual
AMY L. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162544
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162967
OH
104100000X
Social Worker
S.1701444
OH
Other
Enumeration date
05/30/2018
Last updated
02/24/2026
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