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NPI Code Detail

MEDICARE: KATHLEEN NOLDE-MARTIN LMHC

MEDICARE: KATHLEEN NOLDE-MARTIN LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor17680TX
2101YM0800XMental Health CounselorMH 9464FL
3101YP2500XProfessional CounselorMH9464FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396782777
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN NOLDE-MARTIN LMHC
Provider Business Mailing Address
First Line : 1150 N 12TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3308
Country : US
Telephone Number : 850-696-6431
Fax Number :
Provider Business Practice Location Address
First Line : 1150 N 12TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3308
Country : US
Telephone Number : 850-696-6431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 05/24/2022

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Directions to “ KATHLEEN NOLDE-MARTIN LMHC” Practice Location

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