Individual provider · Type 1 NPI
Martin Wildeman, LMFT
Marriage & Family Therapist · Tupelo, MS
Practice location
113 Clark St Ste 1
Tupelo, MS 38804-4809
Fax (662) 346-2821
Mailing address
PO Box 132
Tupelo, MS 38802-0132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | T11865 (MS) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1033993936
Martin Wildeman, LMFT's National Provider Identifier is 1033993936, issued on Aug 22, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tupelo, MS. The record was last updated on May 5, 2026.