Nolde-Martin, Kathleen

Nolde-Martin, Kathleen is an individual health care provider with primary practice located at 1150 N 12Th Ave , Pensacola FL 32501-3308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nolde-Martin, Kathleen can be contacted via phone (850) 696-6431.

Contact Information

Primary practice address
1150 N 12Th Ave Pensacola FL 32501-3308
Phone: (850) 696-6431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 17680 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 9464 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH9464 Florida

Profile Details

NPI number 1396782777
LBN Legal business name Nolde-Martin, Kathleen
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 24th, 2022 - about 2 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 1396782777 NPPES
Texas MEDICAID 1567406

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