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Mark John Derbas, LPC
Counselor in Kenosha, Wisconsin
NPI 1316205594

Mark John Derbas is a Counselor based in Kenosha, WI. Mark John Derbas practices in Kenosha, WI and has the professional credentials of LPC. The NPI Number for Mark John Derbas is 1316205594 and holds a License No. 1347-226 (Wisconsin).

The current practice location address for Mark John Derbas is 8503 75Th St., Kenosha, WI and can be reached out via phone at 262-654-9370 and via fax at 262-654-9379.

Location: 8503 75Th St., Kenosha, WI, 53142-7620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316205594
Provider Name
Mark John Derbas
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
8503 75Th St., Kenosha, WI, 53142-7620
Phone Number
262-654-9370
Fax Number
262-654-9379
Provider Enumeration Date
04/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8503 75Th St.
City
Kenosha
State
Wisconsin
Zip
53142-7620
Phone Number
262-654-9370
Fax Number
262-654-9379
person
Provider Business Mailing Address Details
Address
8503 75Th St.
City
Kenosha
State
Wisconsin
Zip
53142-7620
Phone Number
262-654-9370
Fax Number
262-654-9379
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1347-226 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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