Individual
MARTHA BIANEIM PENA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 465-5770
(414) 463-2770
Mailing address
7582 S NICHOLAS DR UNIT 200, OAK CREEK, WI 53154-1277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7111-226
WI
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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