| Doctor Name: | MARIA CARMEN MARTIN |
| NPI Number: | 1083996656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC |
| License Number: | |
| Business Practice Address: | 3740 E Idaho St Elko, NV - 898014611 |
| Business Phone Number: | 7757388004 |
| Business Fax Number: | 7757382625 |
| Mailing Address: | Po Box 2580, ELKO |
| State: | NV |
| Postal Code: | 898032580 |
| Phone Number: | 7757388004 |
| Fax Number: | 7757382625 |
| NPI Enumeration Date: | 09/09/2011 |
| NPI Last Update Date: | 09/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |