Individual
MRS. MAYA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC-IT
Contact information
Practice address
2652 N 124TH ST, WAUWATOSA, WI 53226-1014
(414) 803-1734
Mailing address
2652 N 124TH ST, WAUWATOSA, WI 53226-1014
(414) 803-1734
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17788-130
WI
101YP2500X
Professional Counselor
Primary
6428-125
WI
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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