Individual
MR. GREGORY ALBERT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
466 SOUTH SKYLANE DRIVE, DURANGO, CO 81303
(970) 382-8181
(970) 382-9494
Mailing address
PO BOX 2201, OPEN SKY WILDERNESS THERAPY, DURANGO, CO 81302-2201
(970) 382-8181
(970) 382-9494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5960584-6010
UT
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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