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MR. MARCO MARTINEZ RADT

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

Registrant NPI Number: 1043820202

Individual Registrant:
MR. MARCO  MARTINEZ RADT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1777 BUCKMAN SPRINGS RD  CAMPO, CA 91906-2022 US
Tel: 619-478-5696  Fax: 619-478-2404

Contact information for business:
1777 BUCKMAN SPRINGS RD  CAMPO, CA 91906-2022 US
Tel: 619-478-5696  Fax: 619-478-2404

Registration Information:
NPI: 1043820202
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CAR1392500520

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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