Individual
EMILY ANNOLYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(507) 402-7739
Mailing address
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910-3119
(507) 402-7739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0108423
CO
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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