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Individual

MR. MARTIN HUNTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
707 1ST AVE, SUITE A, ROCK FALLS, IL 61071-1765
(815) 626-2800
Mailing address
707 1ST AVE, SUITE A, ROCK FALLS, IL 61071-1765
(815) 626-2800

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-5286-0002-A
IL

Other

Enumeration date
04/01/2011
Last updated
04/01/2011
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