Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Ryan Martin, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417592817

Jack Ryan Martin, RADT is an Addiction (Substance Use Disorder) Counselor in Torrance, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

3440 Torrance Blvd Ste 104
Torrance, CA 90503-5805
Phone: (310) 787-1335
Fax: (310) 787-1809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1417592817
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedNovember 10, 2019
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

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