Individual
TRACY M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5102
(715) 634-6107
Mailing address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5102
(715) 634-6107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5227
WI
101YP2500X
Professional Counselor
Primary
5227-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700222395
—
WI
Enumeration date
05/22/2013
Last updated
03/21/2024
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