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DR. MARTY FLEISCHMAN PHD, MAC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1922290261

Individual Registrant:
DR. MARTY  FLEISCHMAN PHD, MAC
Gender: M
Sole Proprietor

Location and contact information for practice:
806 QUIGG WAY  BOULDER CREEK, CA 95006-9062 US
Tel: 831-703-4006  Fax: --

Contact information for business:
P.O. BOX 1272  BOULDER CREEK, CA 95006-2303 US
Tel: 831-703-4202  Fax: --

Registration Information:
NPI: 1922290261
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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