Individual provider · Type 1 NPI
Mark William Reich, MS PSYCHOLOGY
Mental Health Counselor · Appleton, WI
NPI number
1053476515
Active
Practice location
103 West College Avenue, Suite 815
Appleton, WI 54911
Fax (920) 733-1866
Mailing address
W2510 Valleywood Lane
Appleton, WI 54915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2551123 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1053476515
Mark William Reich, MS PSYCHOLOGY's National Provider Identifier is 1053476515, issued on Dec 26, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.