Individual provider · Type 1 NPI
Mark Anthony Pishotta, MA, LCPC, NCC
Professional Counselor · Crystal Lake, IL
NPI number
1669605473
Active
Practice location
24 Surrey Ln
Crystal Lake, IL 60014-7864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180006250 (IL) |
Professional Counselor: Definition to come...
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About NPI 1669605473
Mark Anthony Pishotta, MA, LCPC, NCC's National Provider Identifier is 1669605473, issued on Aug 26, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crystal Lake, IL. The record was last updated on Aug 26, 2009.