MR. Mark Wilmot Prosser, M.S.,L.P.C.,L.M.F.T.

NPI #1689786147 in Blacksburg, Virginia

Provider Information

NPI Number: 1689786147
Entity Type: Individual
Name: MR. Mark Wilmot Prosser, M.S.,L.P.C.,L.M.F.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.S.,L.P.C.,L.M.F.T.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 820 UNIVERSITY CITY BLVD
Address 2: SUITE#1
City: Blacksburg
State: Virginia
ZIP Code: 24060-2708
Phone: (540) 961-2380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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