Individual
CHEYENNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 3RD ST STE C, LAKE ELSINORE, CA 92530-2748
(951) 674-5354
Mailing address
600 3RD ST STE C, LAKE ELSINORE, CA 92530-2748
(951) 674-5354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
04/21/2026
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