Individual
JOSEPH EDWARD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHS II
Contact information
Practice address
500 N 9TH ST STE D, MODESTO, CA 95350-5814
(209) 558-4598
(209) 558-4586
Mailing address
500 N 9TH ST, A, MODESTO, CA 95350-5814
(209) 525-6150
(209) 525-6253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-104025
CA
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17100000X
MEDICAL
CA
Enumeration date
08/03/2010
Last updated
05/15/2025
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