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Organization
MARK MACDONALD & ASSOCIATES, PC
Active
Organization
MARK MACDONALD & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHARLES MACDONALD LCSW (OWNER OF PRIVATE PRACTICE)
(630) 462-8810
Entity
Organization
Contact information
Practice address
600 W ROOSEVELT RD, SUITE A2, WHEATON, IL 60187-5088
(630) 462-8810
(630) 462-8820
Mailing address
600 W ROOSEVELT RD, SUITE A2, WHEATON, IL 60187-5088
(630) 462-8810
(630) 462-8820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-001600
IL
101YP2500X
Professional Counselor
180-005693
IL
101YP2500X
Professional Counselor
180-006320
IL
1041C0700X
Clinical Social Worker
Primary
149-000701
IL
1041C0700X
Clinical Social Worker
149-003332
IL
1041C0700X
Clinical Social Worker
149-004725
IL
Other
Enumeration date
06/04/2007
Last updated
11/12/2013
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