DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK D WIESNER, LMFT

Active Sole Proprietor

MARK D WIESNER, LMFT is a Marriage & Family Therapist healthcare provider located in BELLEVILLE, Illinois. NPI 1568013613 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · BELLEVILLE, IL

Registration Details

NPI Number
1568013613
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2019 (6.8666376878005 yrs)
Last Updated
Sep 20, 2019
License
166.000546 (IL)
Sole Proprietor
Yes

Practice Information

Address
8100 W MAIN ST
BELLEVILLE, IL, 622232018
Browse IL providers · Browse ZIP 62223
Phone
6183971407
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in BELLEVILLE, IL

Name Credential NPI
DR. VIVIAN MARIE SIERRA PH.D. LMFT 1639199854
MR. THOMAS POSNANSKI LMFT 1134209133
MRS. MELISSA D. WICKES MA, LCPC 1437599149
CHELSEA WEBB LMFT 1639880305
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.