Individual
EDWARD J MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 MAIN ST, GREAT BEND, KS 67530-4007
(785) 825-0541
(785) 825-0062
Mailing address
509 E ELM ST, SALINA, KS 67401-2353
(785) 825-0541
(785) 825-0062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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