person
Mara L Youngbauer, LPCIT
Professional Counselor in Wauwatosa, Wisconsin
NPI 1215296405

Mara L Youngbauer is a Professional Counselor based in Menomonee Falls, WI and is specialized in Professional. Mara L Youngbauer practices in Wauwatosa, WI and has the professional credentials of LPCIT. The NPI Number for Mara L Youngbauer is 1215296405 and holds a License No. 1206226 (Wisconsin).

The current practice location address for Mara L Youngbauer is 2600 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-771-9304 and via fax at 414-771-9543.

Location: 2600 N Mayfair Rd, Wauwatosa, WI, 53051-3109
person
Provider Profile Details
NPI Number
1215296405
Provider Name
Mara L Youngbauer
Credential
LPCIT
Provider Entity Type
Individual
Gender
Female
Address
2600 N Mayfair Rd, Wauwatosa, WI, 53051-3109
Phone Number
414-771-9304
Fax Number
414-771-9543
Provider Enumeration Date
05/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588710073 05 WI
institution
Provider Business Practice Location Address Details
Address
2600 N Mayfair Rd
City
State
Zip
53226-1309
Phone Number
414-771-9304
Fax Number
414-771-9543
person
Provider Business Mailing Address Details
Address
2600 N Mayfair Rd
City
State
Zip
53226-1309
Phone Number
414-771-9304
Fax Number
414-771-9543
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1206226 (Wisconsin)
Definition
Definition to come...
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