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Individual
MARK WENDELL
Active
Individual
MARK WENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MA, MAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4798
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4798
STATE BOARD
LA
Enumeration date
12/14/2019
Last updated
12/14/2019
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