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JERRY MARTIN
NPI 1083064562
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since June 15, 2016
4411 N CEDAR AVE STE 108, FRESNO, CA 93726(559) 248-1548(559) 248-1530 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Martin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY MARTIN (NPI 1083064562) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (20098N) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1083064562
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY MARTIN
Location Address4411 N CEDAR AVE STE 108Fresno, CA 93726-2538
Mailing Address4411 N Cedar Ave Ste 108Fresno, CA 93726-2538 · (559) 248-1548 · Fax (559) 248-1530
Phone(559) 248-1548
Fax(559) 248-1530
Sole ProprietorNo
Enumeration DateJune 15, 2016
Last NPPES UpdateJune 16, 2016
✔ NPI 1083064562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 20098N
4411 N CEDAR AVE STE 108, Fresno, CA 93726
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA LYNETTE SCHREIBER
Social Worker
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
CINQUE DEVRONN WEBB
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 217-0412
VICTORIA MARIA ROMAN
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
MS. DAIZELL OBONG
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
MISS CRYSTAL ALVAREZ PEREZ
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
NATHAN MOCK
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
MARCO ANTONIO GONZALEZ
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548
MR. RICHARD DEVEAU
Counselor (Addiction (Substance Use Disorder))
4411 N CEDAR AVE STE 108
FRESNO, CA 93726
Fresno County (559) 248-1548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Martin's NPI number?

The NPI number for Jerry Martin is 1083064562. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Jerry Martin located?

Jerry Martin practices at 4411 N Cedar Ave Ste 108, Fresno, CA 93726. The listed phone number is (559) 248-1548.

What is Jerry Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Martin was last updated on June 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.