| Mark Wichman, | |
|
417 W Water St, Pontiac, IL 61764-1750 | |
| (815) 867-7509 | |
| Not Available |
| Full Name | Mark Wichman |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 417 W Water St, Pontiac, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285785998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180-005327 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wichman, Po Box 351, Pontiac, IL 61764-0351 Ph: () - | Mark Wichman, 417 W Water St, Pontiac, IL 61764-1750 Ph: (815) 867-7509 |
Lauren Whitecotton, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 | |
Brittany Henson, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Tiffany Meints, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Meredith M Spraggon, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Katie Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Rhonda Looney, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 | |
Lauren Black, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561 |