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Mark Richard Amundsen, DMIN
Professional Counselor in Glendale, Wisconsin
NPI 1053404665

Mark Richard Amundsen is a Professional Counselor based in Glendale, WI and is specialized in Professional. Mark Richard Amundsen practices in Glendale, WI and has the professional credentials of DMIN. The NPI Number for Mark Richard Amundsen is 1053404665 and holds a License No. LH00009180 (Wisconsin).

The current practice location address for Mark Richard Amundsen is 5650 N Greenbay Ave, Glendale, WI and can be reached out via phone at 262-789-1191.

Location: 5650 N Greenbay Ave, Glendale, WI, 53209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053404665
Provider Name
Mark Richard Amundsen
Credential
DMIN
Provider Entity Type
Individual
Gender
Male
Address
5650 N Greenbay Ave, Glendale, WI, 53209
Phone Number
262-789-1191
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5650 N Greenbay Ave
City
Glendale
State
Wisconsin
Zip
53209
Phone Number
262-789-1191
Fax Number
person
Provider Business Mailing Address Details
Address
5650 N Greenbay Ave
City
Glendale
State
Wisconsin
Zip
53209
Phone Number
262-789-1191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4127-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LH00009180 (Washington)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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