Individual
TYLER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3475 OMRO RD STE 400, OSHKOSH, WI 54904-7126
(920) 896-6381
Mailing address
3475 OMRO RD STE 400, OSHKOSH, WI 54904-7126
(920) 896-6381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10100-125
WI
Other
Enumeration date
06/28/2019
Last updated
03/11/2024
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