person
Mark Weatherwax, MS
Addiction (Substance Use Disorder) Counselor in Kalamazoo, Michigan
NPI 1841768421

Mark Weatherwax is an Addiction (Substance Use Disorder) Counselor based in Kalamazoo, MI and is specialized in Addiction (Substance Use Disorder). Mark Weatherwax practices in Kalamazoo, MI and has the professional credentials of MS. The NPI Number for Mark Weatherwax is 1841768421 and holds a License No. 6301015902 (Michigan).

The current practice location address for Mark Weatherwax is 519 S Park St, Kalamazoo, MI and can be reached out via phone at 269-903-0551.

Location: 519 S Park St, Kalamazoo, MI, 49007-5117
person
Provider Profile Details
NPI Number
1841768421
Provider Name
Mark Weatherwax
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
519 S Park St, Kalamazoo, MI, 49007-5117
Phone Number
269-903-0551
Fax Number
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
519 S Park St
City
State
Zip
49007-5117
Phone Number
269-903-0551
Fax Number
person
Provider Business Mailing Address Details
Address
519 S Park St
City
State
Zip
49007-5117
Phone Number
269-903-0551
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6301015902 (Michigan)
Definition
Definition to come...
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