Individual
DONALD G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
4161 CARMICHAEL AVE BLDG 3300, JACKSONVILLE, FL 32207-2353
(501) 517-1018
(904) 396-8759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4828-M
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/23/2010
Last updated
01/22/2019
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