Individual
MARTIN TAYLOR MONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Mailing address
777 MURPHY RD, MEDFORD, OR 97504-8425
(417) 722-7635
(541) 734-3164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-898
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
06/15/2021
Last updated
06/17/2021
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