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
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-3167
- Phone
- (414) 531-5207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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