| Mr Marvin R Martine, LISAC | |
|
4 Mls S Of I-40 On Hwy 191, Sanders, Sanders, AZ 86512-1086 | |
| (928) 688-3475 | |
| (928) 688-3478 |
| Full Name | Mr Marvin R Martine |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4 Mls S Of I-40 On Hwy 191, Sanders, Sanders, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104037803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11363 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marvin R Martine, LISAC Po Box 1086, Sanders, AZ 86512-1086 Ph: (928) 688-3475 | Mr Marvin R Martine, LISAC 4 Mls S Of I-40 On Hwy 191, Sanders, Sanders, AZ 86512-1086 Ph: (928) 688-3475 |
Mr. Steven Tsinijinni, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Miles S Of I-40 On Hwy 191, Sanders, AZ 86512 Phone: 928-688-3475 Fax: 928-688-3478 | |
Ms. Deborah J Reeves, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Mile S Of I-40 On Hwy 191, Sanders, AZ 86512 Phone: 928-688-3475 Fax: 928-688-3478 |