Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexander Gruber Marshall, LPC-IT, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750955316

Alexander Gruber Marshall, LPC-IT, SAC-IT is an Addiction (Substance Use Disorder) Counselor in West Bend, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

400 W River Dr
West Bend, WI 53090-1518
Phone: (252) 334-4340
Fax: (262) 334-4341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1446 Horicon St, Mayville, WI 53050-1467 — (262) 334-3430

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5095-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19460-130 (WI)

Record details

NPI number1750955316
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT , SAC-IT
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021

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