Elizabeth Anne Martin
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Avenal, CA
NPI 1306170022 · NPPES record last updated Sep 28, 2009
Key facts
- NPI
- 1306170022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1 Kings Way
Avenal, CA 93204-9708 - Phone
- (559) 386-9964
- Fax
- (559) 386-0809
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1 Kings Way
Avenal, CA 93204-9708
Mailing address
1068 S 7TH Ave Apt 127
Avenal, CA 93204-1781
Phone (559) 389-4121
Other providers in Avenal, CA
- Crystal Leon
- Don Glen Lindquist
- Estela Lopez
- Jovanna Maldonado
- Levi Josiah Mariano
- Thanhan Mathews
- Medicos Unidos de Avenal
- Donald Cameron Moody
- Chelsea M Mora
- Maria Moreno
All providers in Avenal, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.