Individual
MONIQUE CANDACE MATIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCPC, ATR-BC
Contact information
Practice address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 453-5800
Mailing address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 453-5800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180008741
IL
101YP2500X
Professional Counselor
Primary
5177-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801223011
—
WI
Enumeration date
10/02/2013
Last updated
12/31/2025
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