Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK A BODWALK, LPC LMFT
ActiveMarriage & Family Therapist · CLIFTON, VA
Registration Details
- NPI Number
- 1548369390
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.591297909831 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
0701002569 (VA)0717000297 (VA)
Practice Information
- Address
-
6922 NEWMAN RDCLIFTON, VA, 201121613Browse VA providers · Browse ZIP 20112
- Phone
- 7038308864
- Fax
- 7038308864
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
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.