Individual
COREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3257 W 20TH ST UNIT 200, GREELEY, CO 80634-6550
(970) 672-4667
Mailing address
2005 74TH AVE, GREELEY, CO 80634-9692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0020080
CO
Other
Enumeration date
01/06/2022
Last updated
02/13/2024
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