Individual
DR. MARK CLIFFORD GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
257 N PIETY ST, ELLSWORTH, WI 54011-5056
(715) 425-3890
Mailing address
257 N PIETY ST, ELLSWORTH, WI 54011-5056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
913-125
WI
1041C0700X
Clinical Social Worker
Primary
3992-123
WI
Other
Enumeration date
07/28/2006
Last updated
09/11/2025
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