Individual provider · Type 1 NPI

Stacey Martin

Mental Health Counselor · Wausau, WI

NPI number 1356040414 Active

Practice location

530 Grant St
Wausau, WI 54403-4738

Mailing address

229059 Chicken Ln
Marathon, WI 54448-2406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356040414

Stacey Martin's National Provider Identifier is 1356040414, issued on Feb 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wausau, WI. The record was last updated on Mar 7, 2023.