Individual
MARK T MACHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10150 W NATIONAL AVE STE 202, WEST ALLIS, WI 53227-2145
(414) 617-5143
Mailing address
3929 E KLIEFORTH AVE, CUDAHY, WI 53110-3123
(414) 617-5143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10668125
WI
Other
Enumeration date
08/09/2021
Last updated
03/18/2025
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