Provider Demographics
NPI:1053052365
Name:BOND-MARTIN, DAVID A (MS, LADAC, AADC, SAP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:BOND-MARTIN
Suffix:
Gender:M
Credentials:MS, LADAC, AADC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1878
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72115-1878
Mailing Address - Country:US
Mailing Address - Phone:501-492-9399
Mailing Address - Fax:
Practice Address - Street 1:10201 W MARKHAM ST STE 234
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2128
Practice Address - Country:US
Practice Address - Phone:501-492-9399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR444-L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)