Individual
KATIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MHP
Contact information
Practice address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-2808
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-2808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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