Individual
ALEX RICHARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
15221 STATE ROUTE 772, PIKETON, OH 45661-9062
(740) 947-6727
Mailing address
1118 TIFFANY DR, REYNOLDSBURG, OH 43068-1767
(614) 696-3330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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