Individual
DAVID ROBERT MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 E 15TH ST STE 450C, EDMOND, OK 73013-6670
(405) 657-8185
Mailing address
2000 E 15TH ST STE 450C, EDMOND, OK 73013-6670
(405) 657-8185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1472
OK
101YM0800X
Mental Health Counselor
1472
OK
Other
Enumeration date
11/20/2017
Last updated
12/13/2024
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