person
Mrs. Misty Martin, LISAC
Addiction (Substance Use Disorder) Counselor in Kingman, Arizona
NPI 1457890089

Misty Martin is an Addiction (Substance Use Disorder) Counselor based in Kingman, AZ and is specialized in Addiction (Substance Use Disorder). Misty Martin practices in Kingman, AZ and has the professional credentials of LISAC. The NPI Number for Misty Martin is 1457890089 and holds a License No. 101YA0400X (Arizona).

The current practice location address for Misty Martin is 915 Airway Ave, Kingman, AZ and can be reached out via phone at 928-718-4800. You can also correspond with Misty Martin through the mailing address at 915 AIRWAY AVE, KINGMAN, AZ - 86409-3570 (mailing address contact number: 928-718-4800).

Location: 915 Airway Ave, Kingman, AZ, 86409-3570
person
Provider Profile Details
NPI Number
1457890089
Provider Name
Misty Martin
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
915 Airway Ave, Kingman, AZ, 86409-3570
Phone Number
928-718-4800
Fax Number
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
915 Airway Ave
City
State
Zip
86409-3570
Phone Number
928-718-4800
Fax Number
person
Provider Business Mailing Address Details
Address
915 Airway Ave
City
State
Zip
86409-3570
Phone Number
928-718-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101YA0400X (Arizona)
Definition
Definition to come...
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