Individual
KELSEY ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, ICS
Contact information
Practice address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Mailing address
1419 ISLAND ST, LA CROSSE, WI 54603-2848
(920) 420-4919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9224
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076316
—
WI
Enumeration date
03/13/2018
Last updated
02/17/2021
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