Individual
KATHERINE MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6200
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9110-226
WI
106S00000X
Behavior Technician
Primary
23-295820
WI
Other
Enumeration date
04/10/2024
Last updated
07/13/2026
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