person
Mark Wichman
Mental Health Counselor in Pontiac, Illinois
NPI 1285785998

Mark Wichman is a Mental Health Counselor based in Pontiac, IL and is specialized in Mental Health. Mark Wichman practices in Pontiac, IL. The NPI Number for Mark Wichman is 1285785998 and holds a License No. 180-005327 (Illinois).

The current practice location address for Mark Wichman is 417 W Water St, Pontiac, IL and can be reached out via phone at 815-867-7509. You can also correspond with Mark Wichman through the mailing address at PO BOX 351, PONTIAC, IL - 61764-0351 (mailing address contact number: ).

Location: 417 W Water St, Pontiac, IL, 61764-0351
person
Provider Profile Details
NPI Number
1285785998
Provider Name
Mark Wichman
Credential
Provider Entity Type
Individual
Gender
Male
Address
417 W Water St, Pontiac, IL, 61764-0351
Phone Number
815-867-7509
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
417 W Water St
City
State
Zip
61764-1750
Phone Number
815-867-7509
Fax Number
person
Provider Business Mailing Address Details
Address
417 W Water St
City
State
Zip
61764-1750
Phone Number
815-867-7509
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180-005327 (Illinois)
Definition
Definition to come...
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