MR. Mark Allen Wallman SR., L.P.C., L.C.A.D.C.
NPI #1164676029 in Boonton, New Jersey
Provider Information
- NPI Number
- 1164676029
- Entity Type
- Individual
- Name
- MR. Mark Allen Wallman SR., L.P.C., L.C.A.D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C., L.C.A.D.C.
- Enumeration Date
- Nov 5, 2008
- Last Updated
- May 6, 2009
Practice Location
- Address
- 314 KELLY LN
- City
- Boonton
- State
- New Jersey
- ZIP Code
- 07005-2110
- Phone
- (973) 334-6006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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