Individual
GENE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1750 S BRENTWOOD BLVD STE 302, SAINT LOUIS, MO 63144-1339
(314) 229-7423
Mailing address
2761 CAROLINE ST, SAINT LOUIS, MO 63104-1940
(314) 229-7423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5534
MO
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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