Individual
PATRICE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 W ALMA AVE, FLINT, MI 48505-1944
(810) 691-0425
Mailing address
824 W ALMA AVE, FLINT, MI 48505-1944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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