Doctor Name: | MARCIA ANNE CATLETT |
NPI Number: | 1053457044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, LPC, MA, MED |
License Number: | |
Business Practice Address: | N158 Tamarack Rd Palmyra, WI - 531569789 |
Business Phone Number: | 2627450368 |
Business Fax Number: | 2627450368 |
Mailing Address: | Po Box 732, LAKE GENEVA |
State: | WI |
Postal Code: | 531470732 |
Phone Number: | 2627450368 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |