Individual
MS. SHERYL ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS CSAC
Contact information
Practice address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
Mailing address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
914 132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39170700
—
WI
Enumeration date
07/25/2006
Last updated
03/29/2024
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