Individual provider · Type 1 NPI

Mark Edward Wakefield, MA, MBA

Mental Health Counselor · Madison, WI

NPI number 1568617702 Active

Practice location

1709 S Park St
Madison, WI 53713-1200

Call (608) 223-0017 Map

Fax (608) 223-0019

Mailing address

PO Box 7370
Madison, WI 53707-7370

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X13764132 (WI)
Mental Health Counselor Primary 101YM0800X479226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1568617702

Mark Edward Wakefield, MA, MBA's National Provider Identifier is 1568617702, issued on Dec 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Dec 1, 2008.