Individual
MR. TIMOTHY JOSEPH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0090
Mailing address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451023709
MI
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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