Individual
JOSEPH DALE MARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, CADC
Contact information
Practice address
5420 W FRANKLIN RD, BOISE, ID 83705-1071
(208) 336-9076
(208) 336-9079
Mailing address
5420 W FRANKLIN RD, BOISE, ID 83705-1071
(208) 336-9076
(208) 336-9079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10252
ID
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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