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Individual
DR. MARK S. KISELICA
Active
Individual
DR. MARK S. KISELICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00226600
NJ
101YP2500X
Professional Counselor
Primary
PC002162
PA
103TC0700X
Clinical Psychologist
20040606
IN
103TC0700X
Clinical Psychologist
PS008527L
PA
Other
Enumeration date
08/30/2006
Last updated
09/11/2025
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