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Individual

THOMAS C MARX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, CSAC

Contact information

Practice address
S22W22660 BROADWAY STE 5, WAUKESHA, WI 53186-8100
(262) 500-4267
(262) 753-6914
Mailing address
S22W22660 BROADWAY STE 5, WAUKESHA, WI 53186-8100
(262) 500-4267
(262) 753-6914

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15921-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17148-133
WI
101YP2500X
Professional Counselor
Primary
5330-125
WI

Other

Enumeration date
02/12/2012
Last updated
05/28/2025
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