Maureen Patricia Martin, LPC-IT
Counselor, Professional in Brookfield, WI. Individual provider (NPI-1).
NPI number1558080952
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1558080952
- Entity type
- Individual (NPI-1)
- Name
- Maureen Patricia Martin
- Credential
- LPC-IT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2022
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
13035 W Bluemound Rd Ste 100Brookfield, WI 53005-8001
Phone 262-794-1121 · Fax 262-784-9777
Mailing address
1742 S Osborne AveJanesville, WI 53546-5720
Phone 608-447-1071
Other practice locations
511 Madison Ave
Fort Atkinson, WI 53538-1444
Fort Atkinson, WI 53538-1444
Phone 920-541-3078 · Fax 920-817-3831
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