Individual
MATTHEW JOHN MARTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, NCC
Contact information
Practice address
2028 E 38TH ST STE 4, DAVENPORT, IA 52807-1168
(563) 424-2016
(563) 424-2017
Mailing address
2028 E 38TH ST STE 4, DAVENPORT, IA 52807-1168
(563) 424-2016
(563) 424-2017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
087950
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275088114
—
IA
Enumeration date
08/21/2016
Last updated
01/17/2024
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