Mark A Beiser, LCPC
Counselor, Professional in Peoria, IL. Individual provider (NPI-1).
NPI number1922017706
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1922017706
- Entity type
- Individual (NPI-1)
- Name
- Mark A Beiser
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180-004446 | IL | Yes |
Practice location
2001 W Willow Knolls Dr Ste 110Peoria, IL 61614-1262
Phone 309-692-4433 · Fax 309-692-8115
Mailing address
814 W Windom StPeoria, IL 61606-1865
Phone 309-263-5565 · Fax 309-263-9336
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