Individual
GREGORY DEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
95-134 KUAHELANI AVE APT 118, MILILANI, HI 96789-1562
(808) 852-7655
Mailing address
95-134 KUAHELANI AVE APT 118, MILILANI, HI 96789-1562
(808) 852-7655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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