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Individual

MR. MARK STEVEN FOSSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMFT, CSAC, ICS

Contact information

Practice address
2821 N 4TH ST, 516, MILWAUKEE, WI 53212-2362
(414) 263-6000
(414) 263-2270
Mailing address
2821 N 4TH ST, 516, MILWAUKEE, WI 53212-2362
(414) 263-6000
(414) 263-2270

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14971-132
WI
104100000X
Social Worker
402
WI
106H00000X
Marriage & Family Therapist
Primary
460-124
WI

Other

Enumeration date
04/23/2007
Last updated
09/11/2025
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