Individual
MEGAN MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
5241 N IDLEWILD AVE, WHITEFISH BAY, WI 53217-5328
(920) 265-3715
Mailing address
5241 N IDLEWILD AVE, WHITEFISH BAY, WI 53217-5328
(920) 265-3715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18686-130
WI
101YP2500X
Professional Counselor
4596226
WI
101YP2500X
Professional Counselor
Primary
8456-125
WI
Other
Enumeration date
08/05/2019
Last updated
06/13/2022
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