Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK RICHARD AMUNDSEN, DMIN
ActiveProfessional Counselor · GLENDALE, WI
Registration Details
- NPI Number
- 1053404665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.551483746793 yrs)
- Last Updated
- Jul 14, 2022
- Licenses
-
LH00009180 (WA)4127-125 (WI)
Practice Information
- Address
-
5650 N GREENBAY AVEGLENDALE, WI, 53209Browse WI providers · Browse ZIP 53209
- Phone
- 2627891191
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in GLENDALE, WI
| Name | Credential | NPI |
|---|---|---|
| MS. CHRISTINE T LE GRAND | LPC, ATRL-BC | 1619010790 |
| MR. EDWARD KARTHEISER | MA | 1003930843 |
| MRS. TAI MARIE HOOPER | LPC | 1710168000 |
| MR. CHRISTOPHER JOHN BORDEN | MA, LPC, CSAC, NCC | 1053551671 |
| MISS ELISHIA L. PULLIAM | MS, LPC | 1710114095 |
| MR. MICHAEL RINTELMAN | LPC | 1649503988 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.