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Mathew Avery Mayes, LPC-IT,SAC-IT
Counselor in West Allis, Wisconsin
NPI 1255015962

Mathew Avery Mayes is a Counselor based in Kenosha, WI. Mathew Avery Mayes practices in West Allis, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Mathew Avery Mayes is 1255015962 and holds a License No. 7265-226 (Wisconsin).

The current practice location address for Mathew Avery Mayes is 1205 S 70Th St, Ste. 301, West Allis, WI and can be reached out via phone at 414-531-5207.

Location: 1205 S 70Th St, Ste. 301, West Allis, WI, 53142-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255015962
Provider Name
Mathew Avery Mayes
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
1205 S 70Th St, Ste. 301, West Allis, WI, 53142-7015
Phone Number
414-531-5207
Fax Number
Provider Enumeration Date
06/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1205 S 70Th St, Ste. 301
City
West Allis
State
Wisconsin
Zip
53214-3167
Phone Number
414-531-5207
Fax Number
person
Provider Business Mailing Address Details
Address
1205 S 70Th St, Ste. 301
City
West Allis
State
Wisconsin
Zip
53214-3167
Phone Number
414-531-5207
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
7265-226 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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