person
Mark Edward Wakefield, MA,MBA
Mental Health Counselor in Madison, Wisconsin
NPI 1568617702

Mark Edward Wakefield is a Mental Health Counselor based in Madison, WI and is specialized in Mental Health. Mark Edward Wakefield practices in Madison, WI and has the professional credentials of MA,MBA. The NPI Number for Mark Edward Wakefield is 1568617702 and holds a License No. 13764132 (Wisconsin).

The current practice location address for Mark Edward Wakefield is 1709 S Park St, Madison, WI and can be reached out via phone at 608-223-0017 and via fax at 608-223-0019. You can also correspond with Mark Edward Wakefield through the mailing address at PO BOX 7370, MADISON, WI - 53707-7370 (mailing address contact number: 608-223-0017).

Location: 1709 S Park St, Madison, WI, 53707-7370
person
Provider Profile Details
NPI Number
1568617702
Provider Name
Mark Edward Wakefield
Credential
MA,MBA
Provider Entity Type
Individual
Gender
Male
Address
1709 S Park St, Madison, WI, 53707-7370
Phone Number
608-223-0017
Fax Number
608-223-0019
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1709 S Park St
City
State
Zip
53713-1200
Phone Number
608-223-0017
Fax Number
608-223-0019
person
Provider Business Mailing Address Details
Address
1709 S Park St
City
State
Zip
53713-1200
Phone Number
608-223-0017
Fax Number
608-223-0019
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
479226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
13764132 (Wisconsin)
Definition
Definition to come...
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