| Doctor Name: | MARLON MARTIN |
| NPI Number: | 1255467353 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.D.C. |
| License Number: | 10302 |
| Business Practice Address: | 7510 Fm1765 Texas City, TX - 77591 |
| Business Phone Number: | 4099444440 |
| Business Fax Number: | |
| Mailing Address: | 4352 Emmett F Lowry Expy, TEXAS CITY |
| State: | TX |
| Postal Code: | 775912628 |
| Phone Number: | 4099444400 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 10302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |