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Individual

BETH MICHELLE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
41 MONTEBELLO RD, SUITE 104, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 584-0110
Mailing address
41 MONTEBELLO RD, SUITE 200, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 584-0110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007949
CO

Other

Enumeration date
12/22/2016
Last updated
12/22/2016
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