Individual
MARK WIEZOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSAT, TLMHC
Contact information
Practice address
1030 5TH AVE SE STE 3000, CEDAR RAPIDS, IA 52403
(319) 286-4545
Mailing address
1030 5TH AVE SE STE 3000, CEDAR RAPIDS, IA 52403-2416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
076987
IA
Other
Enumeration date
07/07/2015
Last updated
07/26/2018
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