Mr. Mark A Wallman Sr., LPC, LCADC
Counselor, Professional in Boonton, New Jersey
1164676029- Practice location
- 314 Kelly Ln, Boonton, NJ 07005-2110
- Phone
- 973-334-6006
- Fax
- —
- Last updated
- May 6, 2009
Mark Allen Wallman is a Counselor, Professional based in Boonton, NJ. Mark Allen Wallman practices in Boonton, NJ and has the professional credentials of LPC, LCADC. The NPI Number for Mark Allen Wallman is 1164676029 and holds a License No. 37PC00384900 (NJ). The current practice location address for Mark Allen Wallman is 314 Kelly Ln, Boonton, NJ 07005-2110 and can be reached out via phone at 973-334-6006.
Provider Profile Details
- NPI Number
- 1164676029
- Provider Name
- Mark Allen Wallman
- Credential
- LPC, LCADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 314 Kelly Ln, Boonton, NJ 07005-2110
- Phone Number
- 973-334-6006
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 5, 2008
- Last Update Date
- May 6, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 314 Kelly Ln
Boonton, NJ 07005-2110 - City
- Boonton
- State
- New Jersey
- Zip
- 07005-2110
- Phone Number
- 973-334-6006
Provider Business Mailing Address Details
- Address
- 314 Kelly Ln
Boonton, NJ 07005-2110 - City
- Boonton
- State
- NJ
- Zip
- 07005-2110
- Phone Number
- 973-334-6006
License Information
- License Number (1)
- 37PC00384900
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- 37LC00156700
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Mark A Wallman Sr., LPC, LCADC?
The NPI number of Mr. Mark A Wallman Sr., LPC, LCADC is 1164676029. It was assigned on November 5, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark A Wallman Sr., LPC, LCADC?
Mr. Mark A Wallman Sr., LPC, LCADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00384900.
Where does Mr. Mark A Wallman Sr., LPC, LCADC practice?
The practice location is 314 Kelly Ln, Boonton, NJ 07005-2110. The office can be reached at 973-334-6006 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164676029 directly on the NPPES registry website.