Mark Wichman
Mark Wichman is a Mental Health Counselor in Pontiac, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
417 W Water StPontiac, IL 61764-1750
Phone: (815) 867-7509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180-005327 (IL) |
|---|
Record details
| NPI number | 1285785998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2007 |
| Last updated in NPPES | April 24, 2012 |
| Mailing address | Po Box 351, Pontiac, IL 61764-0351 |
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