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Individual

MS. KATHRYN LOUISE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, CAC II

Contact information

Practice address
827 W FRONT ST, TRAVERSE CITY, MI 49684-2465
(231) 499-1371
Mailing address
2777 OLD BARN RD, TRAVERSE CITY, MI 49684-7586
(231) 933-7268

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00667
MI
101YP2500X
Professional Counselor
L702054
MI

Other

Enumeration date
01/10/2007
Last updated
09/11/2025
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