Individual
MR. MICHAEL JAMES MARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1880
Mailing address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3661-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41006200
—
WI
Enumeration date
03/21/2007
Last updated
07/09/2007
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