Martin, Misty

Martin, Misty is an sole proprietor health care provider with primary practice located at 915 Airway Ave , Kingman AZ 86409-3570. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Martin, Misty can be contacted via phone (928) 718-4800.

Contact Information

Primary practice address
915 Airway Ave Kingman AZ 86409-3570
Phone: (928) 718-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 101YA0400X Arizona

Profile Details

NPI number 1457890089
LBN Legal business name Martin, Misty
Credentials LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2017
Last updated Feb 15th, 2017 - about 8 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.

Request for update

Popular Providers