Ronald Martin
Counselor, Mental Health in Mesa, AZ. Individual provider (NPI-1).
NPI number1043600331
StatusActive
Last updated in NPPESJan 26, 2015
Details
- NPI
- 1043600331
- Entity type
- Individual (NPI-1)
- Name
- Ronald Martin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2015
- Last updated
- Jan 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 14030 | AZ | Yes |
Practice location
1436 W 1st StMesa, AZ 85201-6230
Phone 480-824-8369
Mailing address
1436 W 1st StMesa, AZ 85201-6230
Phone 480-824-8369
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