Individual
CECILIA MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC, LPC
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
Mailing address
809 PARK AVE, BEAVER DAM, WI 53916-2205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2703-226
WI
101YP2500X
Professional Counselor
Primary
7062-125
WI
Other
Enumeration date
12/15/2015
Last updated
12/05/2019
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