JERRY MARTIN

FRESNO, CA
NPI1083064562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  20098N)
Enumeration Date2016-06-15
Last Update Date2016-06-16
Business Address
JERRY MARTIN
4411 N CEDAR AVE STE 108
FRESNO, CA 93726-2538
Phone number: 559-248-1548
Mailing Address
JERRY MARTIN
4411 N CEDAR AVE STE 108
FRESNO, CA 93726-2538
Phone number: 559-248-1548
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