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Mr. Brian Shawn Martinezdelacotera
Professional Counselor in Mequon, Wisconsin
NPI 1730726753

Brian Shawn Martinezdelacotera is a Professional Counselor based in Mequon, WI and is specialized in Professional. Brian Shawn Martinezdelacotera practices in Mequon, WI. The NPI Number for Brian Shawn Martinezdelacotera is 1730726753 and holds a License No. 6996-125 (Wisconsin).

The current practice location address for Brian Shawn Martinezdelacotera is 11518 N Port Washington Rd Ste 202, Mequon, WI and can be reached out via phone at 262-244-6177.

Location: 11518 N Port Washington Rd Ste 202, Mequon, WI, 53092-3392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730726753
Provider Name
Brian Shawn Martinezdelacotera
Credential
Provider Entity Type
Individual
Gender
Male
Address
11518 N Port Washington Rd Ste 202, Mequon, WI, 53092-3392
Phone Number
262-244-6177
Fax Number
Provider Enumeration Date
12/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11518 N Port Washington Rd Ste 202
City
Mequon
State
Wisconsin
Zip
53092-3443
Phone Number
262-244-6177
Fax Number
person
Provider Business Mailing Address Details
Address
11518 N Port Washington Rd Ste 202
City
Mequon
State
Wisconsin
Zip
53092-3443
Phone Number
262-244-6177
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6996-125 (Wisconsin)
Definition
Definition to come...
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