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Gene Martino, LMSW

Counselor, Addiction (Substance Use Disorder) in Saint Louis, MO. Individual provider (NPI-1).

NPI number1457950511
StatusActive
Last updated in NPPESOct 20, 2020

Details

NPI
1457950511
Entity type
Individual (NPI-1)
Name
Gene Martino
Credential
LMSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 20, 2020
Certification date
Oct 20, 2020
Last updated
Oct 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)5534MOYes

Practice location

1750 S Brentwood Blvd Ste 302
Saint Louis, MO 63144-1339

Phone 314-229-7423

Mailing address

2761 Caroline St
Saint Louis, MO 63104-1940

Phone 314-229-7423

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