Individual provider · Type 1 NPI
Mark Anthony Maciuszek, MA LCPC
Mental Health Counselor · Summit, IL
NPI number
1508931163
Active
Practice location
7424 Archer Rd
Summit, IL 60501
Fax (708) 458-9177
Mailing address
1437 Morgan Avenue
Lagrange Park, IL 60526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1508931163
Mark Anthony Maciuszek, MA LCPC's National Provider Identifier is 1508931163, issued on Nov 21, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Summit, IL. The record was last updated on Jul 8, 2007.