Provider Demographics
NPI:1285616656
Name:SKROBIAK, MARIANNE FAITH (LPC)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:FAITH
Last Name:SKROBIAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8217 LEGEND DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9615
Mailing Address - Country:US
Mailing Address - Phone:414-425-8039
Mailing Address - Fax:414-529-2669
Practice Address - Street 1:5300 S 108TH ST
Practice Address - Street 2:SUITE 12B
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-1368
Practice Address - Country:US
Practice Address - Phone:414-529-2591
Practice Address - Fax:414-529-2669
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1005101YA0400X
WI3653-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional