Individual provider · Type 1 NPI
Mark Mikyska
Professional Counselor · Somonauk, IL
NPI number
1689323081
Active
Practice location
1025 Somonauk Rd
Somonauk, IL 60552-3176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180008022 (IL) |
Professional Counselor: Definition to come...
About NPI 1689323081
Mark Mikyska's National Provider Identifier is 1689323081, issued on Mar 22, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Somonauk, IL. The record was last updated on Mar 30, 2022.