person
Peter L Mayo, LPC
Addiction (Substance Use Disorder) Counselor in Menasha, Wisconsin
NPI 1154529196

Peter L Mayo is an Addiction (Substance Use Disorder) Counselor based in Menasha, WI and is specialized in Addiction (Substance Use Disorder). Peter L Mayo practices in Menasha, WI and has the professional credentials of LPC. The NPI Number for Peter L Mayo is 1154529196 and holds a License No. 3461-125 (Wisconsin).

The current practice location address for Peter L Mayo is 130 Main Street, Menasha, WI and can be reached out via phone at 920-379-7769.

Location: 130 Main Street, Menasha, WI, 54952
person
Provider Profile Details
NPI Number
1154529196
Provider Name
Peter L Mayo
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
130 Main Street, Menasha, WI, 54952
Phone Number
920-379-7769
Fax Number
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40969100 05 WI
institution
Provider Business Practice Location Address Details
Address
130 Main Street
City
State
Zip
54952
Phone Number
920-379-7769
Fax Number
person
Provider Business Mailing Address Details
Address
130 Main Street
City
State
Zip
54952
Phone Number
920-379-7769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15332-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3461-125 (Wisconsin)
Definition
Definition to come...
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