Individual
MATTHEW ALEXANDER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
4994
MN
101YP2500X
Professional Counselor
4994
MN
Other
Enumeration date
08/03/2021
Last updated
05/23/2025
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