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Individual

KRISTA J MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC-T

Contact information

Practice address
1221 SW 17TH ST, TOPEKA, KS 66604-2810
(785) 266-0202
Mailing address
1221 SW 17TH ST, TOPEKA, KS 66604-2810

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01812-T
KS

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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