Individual
ANTHONY DARNELL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2938 LA SOLIDAD WAY, SACRAMENTO, CA 95817-2933
(916) 470-0459
Mailing address
2938 LA SOLIDAD WAY, SACRAMENTO, CA 95817-2933
(916) 470-0459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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