Kindred, Joseph Mariner

Kindred, Joseph Mariner is an sole proprietor health care provider with primary practice located at E2498 350Th Ave. , Menomonie WI 54751-6212. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Kindred, Joseph Mariner can be contacted via phone (262) 726-1688.

Contact Information

Primary practice address
E2498 350Th Ave. Menomonie WI 54751-6212
Fax: (207) 708-5352
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 571-228 Wisconsin

Profile Details

NPI number 1396265799
LBN Legal business name Kindred, Joseph Mariner
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2017
Last updated Jun 19th, 2023 - 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 1396265799 NPPES
Wisconsin MEDICAID 100093715

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