Individual
ERIC JAMES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW, LMAC
Contact information
Practice address
1558 HAYES DR, MANHATTAN, KS 66502-5068
(785) 587-4315
(785) 587-4339
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
294
KS
104100000X
Social Worker
9954
KS
1041C0700X
Clinical Social Worker
Primary
4993
KS
Other
Enumeration date
05/27/2016
Last updated
07/26/2019
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