Ricky Ray Martin
Counselor, Addiction (Substance Use Disorder) in Florence, SC. Individual provider (NPI-1).
NPI number1821113622
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821113622
- Entity type
- Individual (NPI-1)
- Name
- Ricky Ray Martin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | ICADC15584 | NC | Yes |
Practice location
601 Gregg AveFlorence, SC 29502
Phone 843-665-9349 · Fax 843-669-6122
Mailing address
Po Box 6196601 Gregg Ave
Florence, SC 29502
Phone 843-665-9349 · Fax 843-669-6122
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- Lisa F Burkett, NCAC, CAC II, SAPNPI 1467897694
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All 48 Addiction (Substance Use Disorder) Counselor providers in Florence · All 3,739 providers in Florence
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