Individual
MRS. CASSONDRA BREANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC
Contact information
Practice address
1415 W ASHLEY RD, BOONVILLE, MO 65233-2111
(660) 882-6547
Mailing address
1415 W ASHLEY RD, BOONVILLE, MO 65233-2111
(660) 882-6547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13659
MO
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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