Individual
COURTNEY P. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
Mailing address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.173342
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/15/2020
Last updated
07/09/2020
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