Individual
CARLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249
(209) 754-6572
Mailing address
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
CA
Enumeration date
03/22/2017
Last updated
03/13/2026
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