Individual
MR. MARK WILLIAM REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PSYCHOLOGY
Contact information
Practice address
103 WEST COLLEGE AVENUE, SUITE 815, APPLETON, WI 54911
(920) 733-1992
(920) 733-1866
Mailing address
W2510 VALLEYWOOD LANE, APPLETON, WI 54915
(920) 788-5261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2551123
WI
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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