Individual provider · Type 1 NPI

Mark Wichman

Mental Health Counselor · Pontiac, IL

NPI number 1285785998 Active

Practice location

417 W Water St
Pontiac, IL 61764-1750

Call (815) 867-7509 Map

Mailing address

PO Box 351
Pontiac, IL 61764-0351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180-005327 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1285785998

Mark Wichman's National Provider Identifier is 1285785998, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Apr 24, 2012.