Provider Demographics
NPI:1134489156
Name:MARTIN, ALISON MARIE (CMHC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 E ASPEN GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1694
Mailing Address - Country:US
Mailing Address - Phone:801-369-2849
Mailing Address - Fax:
Practice Address - Street 1:1291 EXPRESSWAY LN
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1333
Practice Address - Country:US
Practice Address - Phone:801-369-2849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health