Individual provider · Type 1 NPI

Mara L. Youngbauer, LPCIT

Professional Counselor · Wauwatosa, WI

NPI number 1215296405 Active

Practice location

2600 N Mayfair Rd, Suite 650
Wauwatosa, WI 53226-1309

Call (414) 771-9304 Map

Fax (414) 771-9543

Mailing address

W151N8714 Marshall Dr
Menomonee Falls, WI 53051-3109

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1206226 (WI)

Professional Counselor: Definition to come...

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About NPI 1215296405

Mara L. Youngbauer, LPCIT's National Provider Identifier is 1215296405, issued on May 9, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wauwatosa, WI. The record was last updated on May 9, 2012.