Individual provider · Type 1 NPI

Kiley Martin, LPC

Professional Counselor · De Pere, WI

NPI number 1710482633 Active

Practice location

2066 Lawrence Dr
De Pere, WI 54115-9421

Call (920) 338-8699 Map

Fax (920) 336-3181

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6835-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1710482633

Kiley Martin, LPC's National Provider Identifier is 1710482633, issued on Mar 25, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in De Pere, WI. The record was last updated on Mar 25, 2018.