Martin, Andrea Jayne

Martin, Andrea Jayne is an individual health care provider with primary practice located at 1110 College Dr Ste 206 , Bismarck ND 58501-1207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Martin, Andrea Jayne can be contacted via phone (701) 258-2008.

Contact Information

Primary practice address
1110 College Dr Ste 206 Bismarck ND 58501-1207
Phone: (701) 258-2008
Fax: (701) 223-9114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 260-1-1-93-51 North Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X 260-1-1-93-51 North Dakota

Profile Details

NPI number 1447356506
LBN Legal business name Martin, Andrea Jayne
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jun 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447356506 NPPES
North Dakota MEDICAID 1463767

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