| Mark Gillman, BA, CADC | |
|
310 W. Main St, Ottumwa, IA 52501 | |
| (641) 683-6747 | |
| (641) 683-6317 |
| Full Name | Mark Gillman |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 310 W. Main St, Ottumwa, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093242778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15002 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Gillman, BA, CADC Po Box 658, Ottumwa, IA 52501 Ph: (641) 683-6747 | Mark Gillman, BA, CADC 310 W. Main St, Ottumwa, IA 52501 Ph: (641) 683-6747 |
Mrs. Lori Lee Grim, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Bekki Jane Klodt, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1117, Ottumwa, IA 52501 Phone: 641-243-5952 | |
Mrs. Suzette Kathryn Van Vark, LMHC, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Benjamin Lee Wyldes, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Joshua Huffine, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Hancock St, Ottumwa, IA 52501 Phone: 641-682-2800 Fax: 641-682-2826 | |
Mrs. Tiara Annette Perez, C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St., Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 |