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NPI Code Detail

MEDICARE: ALISON MARIE MARTIN CMHC

MEDICARE:   ALISON MARIE MARTIN  CMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1134489156
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON MARIE MARTIN CMHC
Provider Business Mailing Address
First Line : 1618 E ASPEN GROVE DR
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1694
Country : US
Telephone Number : 801-369-2849
Fax Number :
Provider Business Practice Location Address
First Line : 1291 EXPRESSWAY LN
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1333
Country : US
Telephone Number : 801-369-2849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2012
Last Update Date : 02/22/2019

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Directions to “ ALISON MARIE MARTIN CMHC” Practice Location

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