Martenson, Carol R

Martenson, Carol R is an individual health care provider with primary practice located at 721 Sheridan Ave , Cody WY 82414-3423. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Martenson, Carol R can be contacted via phone (307) 578-2288.

Contact Information

Primary practice address
721 Sheridan Ave Cody WY 82414-3423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-680 Wyoming

Profile Details

NPI number 1366645384
LBN Legal business name Martenson, Carol R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 8th, 2007 - about 19 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 1366645384 NPPES
Wyoming Other LPC-680 STATE LICENSE

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