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NPI Code Detail

MEDICARE: MISS JESSICA ANN MARTON

MEDICARE: MISS JESSICA ANN MARTON
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194967OH
2175T00000XPeer SpecialistAPS.006758OH

General Provider Information

NPI Number : 1891682076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSICA ANN MARTON
Provider Business Mailing Address
First Line : 2737 YOUNGSTOWN RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5002
Country : US
Telephone Number : 330-369-8022
Fax Number :
Provider Business Practice Location Address
First Line : 2737 YOUNGSTOWN RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5002
Country : US
Telephone Number : 330-369-8022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 06/09/2026

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Directions to “ MISS JESSICA ANN MARTON ” Practice Location

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