Individual
MR. JUSTIN J. MARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CSAC, ICS
Contact information
Practice address
15 W MILWAUKEE ST, SUITE 207, JANESVILLE, WI 53548-2998
(608) 755-1475
(608) 755-1733
Mailing address
15 W MILWAUKEE ST, SUITE 207, JANESVILLE, WI 53548-2998
(608) 755-1475
(608) 755-1733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15330-132
WI
101YP2500X
Professional Counselor
Primary
4580-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247900
—
WI
Enumeration date
06/18/2007
Last updated
04/30/2015
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