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

Mr. Marvin R Martine, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104037803

Mr. Marvin R Martine, LISAC is an Addiction (Substance Use Disorder) Counselor in Sanders, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

4 Mls S Of I-40 On Hwy 191 Sanders
Sanders, AZ 86512-1086
Phone: (928) 688-3475
Fax: (928) 688-3478
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 · Licence 11363 (AZ)

Record details

NPI number1104037803
Entity typeIndividual (Type 1)
GenderMale
Credentials LISAC
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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