Individual
MR. ANDREW MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 RIVERSIDE DR APT 5, TULSA, OK 74105-3059
(918) 743-4168
Mailing address
3701 RIVERSIDE DR APT 5, TULSA, OK 74105-3059
(918) 743-4168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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