SearchArizona101YA0400X

Misty Martin, LISAC

NPI 1457890089 · on the registry since 2017 · sole proprietor

Practice

Address
915 Airway Ave
Kingman, AZ 86409
Phone
(928) 718-4800
Organisation at this address
Genoa Healthcare Llc
Mohave Mental Health Clinic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona