person
Alexander Gruber Marshall, LPC-IT,SAC-IT
Professional Counselor in West Bend, Wisconsin
NPI 1750955316

Alexander Gruber Marshall is a Professional Counselor based in West Bend, WI and is specialized in Professional. Alexander Gruber Marshall practices in West Bend, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Alexander Gruber Marshall is 1750955316 and holds a License No. 19460-130 (Wisconsin).

The current practice location address for Alexander Gruber Marshall is 400 W River Dr, West Bend, WI and can be reached out via phone at 252-334-4340 and via fax at 262-334-4341.

Location: 400 W River Dr, West Bend, WI, 53090-1518
person
Provider Profile Details
NPI Number
1750955316
Provider Name
Alexander Gruber Marshall
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
400 W River Dr, West Bend, WI, 53090-1518
Phone Number
252-334-4340
Fax Number
262-334-4341
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W River Dr
City
State
Zip
53090-1518
Phone Number
252-334-4340
Fax Number
262-334-4341
person
Provider Business Mailing Address Details
Address
400 W River Dr
City
State
Zip
53090-1518
Phone Number
252-334-4340
Fax Number
262-334-4341
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5095-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19460-130 (Wisconsin)
Definition
Definition to come...
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