Individual
MR. MARTIN JAMES LYTHGOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC III, NCAC II
Contact information
Practice address
286 MARIAN AVENUE, CENTRAL POINT, OR 97502-7009
(541) 727-7088
Mailing address
286 MARIAN AVENUE, CENTRAL POINT, OR 97502-7009
(805) 377-7116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24-R-27
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A3553789
CA
Other
Enumeration date
11/12/2007
Last updated
08/14/2025
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