person
Mr. Kenneth Scott Martin, CADC
Addiction (Substance Use Disorder) Counselor in Rockford, Illinois
NPI 1255438362

Kenneth Scott Martin is an Addiction (Substance Use Disorder) Counselor based in Rockford, IL and is specialized in Addiction (Substance Use Disorder). Kenneth Scott Martin practices in Rockford, IL and has the professional credentials of CADC. The NPI Number for Kenneth Scott Martin is 1255438362 and holds a License No. 13193 (Illinois).

The current practice location address for Kenneth Scott Martin is 4940 E State St, Rockford, IL and can be reached out via phone at 815-227-0081 and via fax at 815-387-5316.

Location: 4940 E State St, Rockford, IL, 61108-2270
person
Provider Profile Details
NPI Number
1255438362
Provider Name
Kenneth Scott Martin
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
4940 E State St, Rockford, IL, 61108-2270
Phone Number
815-227-0081
Fax Number
815-387-5316
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4940 E State St
City
State
Zip
61108-2270
Phone Number
815-227-0081
Fax Number
815-387-5316
person
Provider Business Mailing Address Details
Address
4940 E State St
City
State
Zip
61108-2270
Phone Number
815-227-0081
Fax Number
815-387-5316
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13193 (Illinois)
Definition
Definition to come...
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