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Domonique Martin
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1740757780

Domonique Martin is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Domonique Martin practices in Stockton, CA. The NPI Number for Domonique Martin is 1740757780 and holds a License No. (California).

The current practice location address for Domonique Martin is 8626 Lower Sacramento Rd, Stockton, CA and can be reached out via phone at 209-478-2487.

Location: 8626 Lower Sacramento Rd, Stockton, CA, 95210-3549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740757780
Provider Name
Domonique Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
8626 Lower Sacramento Rd, Stockton, CA, 95210-3549
Phone Number
209-478-2487
Fax Number
Provider Enumeration Date
10/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8626 Lower Sacramento Rd
City
Stockton
State
California
Zip
95210-1835
Phone Number
209-478-2487
Fax Number
person
Provider Business Mailing Address Details
Address
8626 Lower Sacramento Rd
City
Stockton
State
California
Zip
95210-1835
Phone Number
209-478-2487
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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