Mark Martin, CDCA166404
Mark Martin, CDCA166404 is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
11811 Shaker Blvd Ste 123Cleveland, OH 44120-1927
Phone: (216) 965-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.166404 (OH) |
|---|
Record details
| NPI number | 1164916805 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA166404 |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2018 |
| Last updated in NPPES | June 17, 2018 |
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