DANIEL MARTIN

MESA, AZ
NPI1548284888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC 11571)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- DANIEL MARTIN
2613 S POWER RD
MESA, AZ 85209-6675
Phone number: 480-461-5075
Mailing Address
-- DANIEL MARTIN
PO BOX 5860
MESA, AZ 85211-5860
Phone number: 480-461-5075
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