Mark Wendell, LPC, MA, MAC
Counselor, Mental Health in Vivian, LA. Individual provider (NPI-1).
NPI number1386282952
StatusActive
Last updated in NPPESDec 14, 2019
Details
- NPI
- 1386282952
- Entity type
- Individual (NPI-1)
- Name
- Mark Wendell
- Credential
- LPC, MA, MAC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2019
- Certification date
- Dec 14, 2019
- Last updated
- Dec 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4798 | LA | Yes |
Practice location
13838 Boyter LnVivian, LA 71082-9788
Phone 318-519-9034 · Fax 318-375-2643
Mailing address
13838 Boyter LnVivian, LA 71082-9788
Phone 318-519-9034 · Fax 318-375-2643
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