Mathew Avery Mayes, LPC-IT, SAC-IT

NPI #1255015962 in West Allis, Wisconsin

Provider Information

NPI Number
1255015962
Entity Type
Individual
Name
Mathew Avery Mayes, LPC-IT, SAC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LPC-IT, SAC-IT
Enumeration Date
Jun 13, 2023
Last Updated
Jun 13, 2023

Practice Location

Address
1205 S 70TH ST, STE. 301
Address 2
1205
ZIP Code
53214-3167
Phone
(414) 531-5207

Specialties & Taxonomy Codes

Specialty
Counselor

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