Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WICHMAN
Active Sole ProprietorMARK WICHMAN is a Mental Health Counselor healthcare provider located in PONTIAC, Illinois. NPI 1285785998 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PONTIAC, IL
Registration Details
- NPI Number
- 1285785998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.533333906989 yrs)
- Last Updated
- Apr 24, 2012
- License
-
180-005327 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
417 W WATER STPONTIAC, IL, 617641750Browse IL providers · Browse ZIP 61764
- Phone
- 8158677509
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PONTIAC, IL
| Name | Credential | NPI |
|---|---|---|
| JOSEPH VAUGHAN | LCSW | 1508873381 |
| AMY DUFFY | LCPC | 1932259983 |
| ROBERT W KINAS | LCPC | 1750431748 |
| JESSICA RUDOLPHI | LCPC | 1265582225 |
| SHERRY BRENDALEN | LPC | 1518162676 |
| KIMBERLY MAYES | LPC | 1457556466 |
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.