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Individual
MR. MARTIN KIPP VONDERSAAR
Active
Individual
MR. MARTIN KIPP VONDERSAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-CAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C22531214
CCAPP
CA
Enumeration date
10/22/2015
Last updated
07/17/2026
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