Nicole D Martinez, LPC
Counselor, Mental Health in Baraboo, WI. Individual provider (NPI-1).
NPI number1083178230
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1083178230
- Entity type
- Individual (NPI-1)
- Name
- Nicole D Martinez
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2019
- Certification date
- Sep 26, 2023
- Last updated
- Sep 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 7855-125 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 18081-130 | WI |
Other names
- Nicole D Morris (Former Name)
Practice location
505 Broadway StBaraboo, WI 53913-2183
Phone 608-355-4200
Mailing address
505 Broadway StBaraboo, WI 53913-2183
Phone 608-355-4200 · Fax 608-355-4299
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All 19 Mental Health Counselor providers in Baraboo · All 502 providers in Baraboo
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