Individual
MELISSA MARBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Mailing address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8590226
WI
Other
Enumeration date
01/17/2025
Last updated
07/08/2025
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