Provider Demographics
NPI:1477714160
Name:GARCIA, MARTIN E (LCDC, CART)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:M
Credentials:LCDC, CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BUSINESS DR W
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4326
Mailing Address - Country:US
Mailing Address - Phone:830-896-8884
Mailing Address - Fax:830-367-4687
Practice Address - Street 1:102 BUSINESS DR W
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4326
Practice Address - Country:US
Practice Address - Phone:830-896-8884
Practice Address - Fax:830-367-4687
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8653101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)