Individual
AMY L. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Contact information
Practice address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 494-4679
Mailing address
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011-1930
(513) 494-4679
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307186
—
OH
Enumeration date
05/30/2018
Last updated
02/24/2026
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