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Individual
MR. JUSTIN J. MARKO
Active
Individual
MR. JUSTIN J. MARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15330-132
WI
101YP2500X
Professional Counselor
Primary
4580-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247900
—
WI
Enumeration date
06/18/2007
Last updated
04/30/2015
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