Individual provider · Type 1 NPI

Mathew Avery Mayes, LPC-IT, SAC-IT

Counselor · West Allis, WI

NPI number 1255015962 Active

Practice location

1205 S 70th St, Ste. 301, 1205
West Allis, WI 53214-3167

Call (414) 531-5207 Map

Mailing address

6233 39th Ave
Kenosha, WI 53142-7015

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X7265-226 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255015962

Mathew Avery Mayes, LPC-IT, SAC-IT's National Provider Identifier is 1255015962, issued on Jun 13, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in West Allis, WI. The record was last updated on Jun 13, 2023.