Martin, Kelsey Ann

Martin, Kelsey Ann is an individual health care provider with primary practice located at 571 Braund St , Onalaska WI 54650-8556. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Kelsey Ann can be contacted via phone (608) 785-7000.

Contact Information

Primary practice address
571 Braund St Onalaska WI 54650-8556
Phone: (608) 785-7000
Fax: (608) 785-7477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9224 Wisconsin

Profile Details

NPI number 1104329432
LBN Legal business name Martin, Kelsey Ann
Credentials LCSW, CSAC, ICS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Feb 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104329432 NPPES
Wisconsin MEDICAID 100076316

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