Individual
HAVEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4962 WESTMORELAND CT, RIVERSIDE, OH 45431-1135
(937) 559-4760
Mailing address
4962 WESTMORELAND CT, RIVERSIDE, OH 45431-1135
(937) 559-4760
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2608011
OH
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
07/16/2026
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