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Mr. Mark Russell Ireland, LPC,LMAC
Mental Health Counselor in Hiawatha, Kansas
NPI 1457589665

Mark Russell Ireland is a Mental Health Counselor based in Hiawatha, KS and is specialized in Mental Health. Mark Russell Ireland practices in Hiawatha, KS and has the professional credentials of LPC,LMAC. The NPI Number for Mark Russell Ireland is 1457589665 and holds a License No. 2112 (Kansas).

The current practice location address for Mark Russell Ireland is 909 S 2Nd St, Hiawatha, KS and can be reached out via phone at 785-742-7113.

Location: 909 S 2Nd St, Hiawatha, KS, 66434-2774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457589665
Provider Name
Mark Russell Ireland
Credential
LPC,LMAC
Provider Entity Type
Individual
Gender
Male
Address
909 S 2Nd St, Hiawatha, KS, 66434-2774
Phone Number
785-742-7113
Fax Number
Provider Enumeration Date
06/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841281805 05 KS
institution
Provider Business Practice Location Address Details
Address
909 S 2Nd St
City
Hiawatha
State
Kansas
Zip
66434-2774
Phone Number
785-742-7113
Fax Number
person
Provider Business Mailing Address Details
Address
909 S 2Nd St
City
Hiawatha
State
Kansas
Zip
66434-2774
Phone Number
785-742-7113
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2112 (Kansas)
Definition
Definition to come...
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