Individual
ALICIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 DAVIS RD, MT STERLING, KY 40353-9549
(859) 498-6574
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/16/2020
Last updated
05/19/2020
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