Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARVIN R MARTINE, LISAC
ActiveMR. MARVIN R MARTINE, LISAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SANDERS, Arizona. NPI 1104037803 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SANDERS, AZ
Registration Details
- NPI Number
- 1104037803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2007 (19.214100236177 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11363 (AZ)
Practice Information
- Address
-
4 MLS S OF I-40 ON HWY 191, SANDERSSANDERS, AZ, 865121086Browse AZ providers · Browse ZIP 86512
- Phone
- 9286883475
- Fax
- 9286883478
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SANDERS, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH J REEVES | LISAC | 1942411731 |
| MR. STEVEN TSINIJINNI | LISAC | 1598969503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.