Individual
MR. ROD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
120 N MAIN ST STE 5, EL DORADO, KS 67042-2058
(316) 320-9333
(316) 541-2697
Mailing address
400 SW RIVER VALLEY RD, TOWANDA, KS 67144-9361
(316) 320-9333
(316) 541-2697
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
072
KS
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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