Mark D Wiesner, LMFT
NPI #1568013613 in Belleville, Illinois
Provider Information
- NPI Number
- 1568013613
- Entity Type
- Individual
- Name
- Mark D Wiesner, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 8100 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-2018
- Phone
- (618) 397-1407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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