Individual
JASON CHRISTOPHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
1320 MENDOTA ST, MADISON, WI 53714-1096
(608) 280-2700
Mailing address
4014 N SHERMAN AVE, MADISON, WI 53704-2117
(608) 215-1853
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WI
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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