Individual provider · Type 1 NPI

Mark Daniel Dittloff, MS, LPC

Professional Counselor · Oconto, WI

NPI number 1194965590 Active

Practice location

820 Arbutus Ave
Oconto, WI 54153-2004

Fax (920) 834-8830

Mailing address

PO Box 1866
Green Bay, WI 54305-1866

Other practice locations

  • 1512 Scripture St, Denton, TX 76201-3916 · (940) 382-5328
  • 301 E Saint Joseph St, Green Bay, WI 54301-2241 · (920) 433-3630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X64969 (TX)
Professional Counselor Primary 101YP2500X8608-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1194965590

Mark Daniel Dittloff, MS, LPC's National Provider Identifier is 1194965590, issued on Feb 24, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oconto, WI. The record was last updated on Nov 11, 2022.