Provider Demographics
NPI:1417731423
Name:MARTES, KATIE
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:MARTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 S HIGHWAY 27 APT H307
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6185
Mailing Address - Country:US
Mailing Address - Phone:208-806-0669
Mailing Address - Fax:
Practice Address - Street 1:3711 S HIGHWAY 27 APT H307
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99206-6185
Practice Address - Country:US
Practice Address - Phone:208-806-0669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor