| Mr Mark Allen Wallman Sr, LPC, LCADC | |
|
314 Kelly Ln, Boonton, NJ 07005-2110 | |
| (973) 334-6006 | |
| Not Available |
| Full Name | Mr Mark Allen Wallman Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 314 Kelly Ln, Boonton, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164676029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00384900 (New Jersey) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00156700 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Allen Wallman Sr, LPC, LCADC 314 Kelly Ln, Boonton, NJ 07005-2110 Ph: (973) 334-6006 | Mr Mark Allen Wallman Sr, LPC, LCADC 314 Kelly Ln, Boonton, NJ 07005-2110 Ph: (973) 334-6006 |
Mr. Daniel Harris, LCADC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 212 Division St, Boonton, NJ 07005 Phone: 973-267-6000 | |
Caitlin N Zarro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Main St, Boonton, NJ 07005 Phone: 973-219-6765 Fax: 973-300-1443 | |
Janine Heinis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Main St, Boonton, NJ 07005 Phone: 201-214-5725 | |
Charisse Avoletta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton, NJ 07005 Phone: 973-316-1816 | |
Miss Stacy Lynn Dutka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton, NJ 07005 Phone: 973-316-1816 | |
Jessica Michelle Senyszyn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton, NJ 07005 Phone: 973-316-1893 |