Individual
HEATHER MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W VILLARD AVE, ALL SAINTS FAMILY CARE CENTER, MILWAUKEE, WI 53209-4901
(414) 527-8348
(414) 527-8046
Mailing address
2400 W VILLARD AVE, ALL SAINTS FAMILY CARE CENTER, MILWAUKEE, WI 53209-4901
(414) 527-8348
(414) 527-8046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3611
WI
103T00000X
Psychologist
Primary
2725
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962524991
—
WI
Enumeration date
04/03/2007
Last updated
11/16/2016
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