Jennifer Martin, CADC-DP

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boyne Falls, MI

NPI 1760015077 · NPPES record last updated Feb 14, 2020

Key facts

NPI
1760015077
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2594 Springvale Rd
Boyne Falls, MI 49713-9684
Phone
(231) 535-2822
NPI assigned
Feb 14, 2020
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MI Yes

Addresses

Primary practice location

2594 Springvale Rd
Boyne Falls, MI 49713-9684

Mailing address

7740 Racoon Run
Harbor Springs, MI 49740-8626

Other providers in Boyne Falls, MI

All providers in Boyne Falls, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.