Individual
MR. BRIAN SHAWN MARTINEZDELACOTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11649 N PORT WASHINGTON RD STE 221, MEQUON, WI 53092-3461
(262) 912-1922
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(262) 999-3495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6996-125
WI
Other
Enumeration date
12/10/2019
Last updated
09/23/2025
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