Individual
MS. MARI C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
2345 E MASON ST, GREEN BAY, WI 54302-3764
(920) 469-8890
(920) 406-3909
Mailing address
2345 E MASON ST, GREEN BAY, WI 54302-3764
(920) 469-8890
(920) 406-3909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1951-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39699800
—
WI
Enumeration date
03/23/2007
Last updated
07/08/2007
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