person
Miss Heather Marie Martin, SAC-IT
Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin
NPI 1770883043

Heather Marie Martin is an Addiction (Substance Use Disorder) Counselor based in Appleton, WI and is specialized in Addiction (Substance Use Disorder). Heather Marie Martin practices in Appleton, WI and has the professional credentials of SAC-IT. The NPI Number for Heather Marie Martin is 1770883043 and holds a License No. 16145-130 (Wisconsin).

The current practice location address for Heather Marie Martin is 4000 W Spencer St, Appleton, WI and can be reached out via phone at 920-735-9010.

Location: 4000 W Spencer St, Appleton, WI, 54914-4015
person
Provider Profile Details
NPI Number
1770883043
Provider Name
Heather Marie Martin
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
4000 W Spencer St, Appleton, WI, 54914-4015
Phone Number
920-735-9010
Fax Number
Provider Enumeration Date
11/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16145-130 01 WI STATE OF WISCONSIN LICENSE SAC-IT NUMBER
institution
Provider Business Practice Location Address Details
Address
4000 W Spencer St
City
State
Zip
54914-4015
Phone Number
920-735-9010
Fax Number
person
Provider Business Mailing Address Details
Address
4000 W Spencer St
City
State
Zip
54914-4015
Phone Number
920-735-9010
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16145-130 (Wisconsin)
Definition
Definition to come...
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