Individual
RUTH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 LAUREL ST, ANCHORAGE, AK 99508-5333
(907) 729-6300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-7408
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
03/30/2023
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