Individual
MARK RONALD WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(715) 862-0419
Mailing address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120
(906) 229-6191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427415736
—
MI
Enumeration date
01/19/2016
Last updated
06/19/2018
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