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Mark Pemberton
Mental Health Counselor in Sandusky, Ohio
NPI 1396103057

Mark Pemberton is a Mental Health Counselor based in Amherst, OH and is specialized in Mental Health. Mark Pemberton practices in Sandusky, OH. The NPI Number for Mark Pemberton is 1396103057 and holds a License No. 131151 (Ohio).

The current practice location address for Mark Pemberton is 1925 Hayes Ave, Sandusky, OH and can be reached out via phone at 419-557-5177.

Location: 1925 Hayes Ave, Sandusky, OH, 44001-2590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396103057
Provider Name
Mark Pemberton
Credential
Provider Entity Type
Individual
Gender
Female
Address
1925 Hayes Ave, Sandusky, OH, 44001-2590
Phone Number
419-557-5177
Fax Number
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1925 Hayes Ave
City
Sandusky
State
Ohio
Zip
44870-4737
Phone Number
419-557-5177
Fax Number
person
Provider Business Mailing Address Details
Address
1925 Hayes Ave
City
Sandusky
State
Ohio
Zip
44870-4737
Phone Number
419-557-5177
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C 09000641 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
131151 (Ohio)
Definition
Definition to come...
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