Individual
LYNN ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3930 8TH ST S, SUITE 101, WISCONSIN RAPIDS, WI 54494-6511
(715) 423-2030
(715) 423-2032
Mailing address
3930 8TH ST S, SUITE 101, WISCONSIN RAPIDS, WI 54494-6511
(715) 423-2030
(715) 423-2030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5041-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5041-125
STATE OF WI DEPT OF SAFETY & PROFESSIONAL SERVICES
WI
Enumeration date
04/04/2013
Last updated
03/24/2016
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