Individual
MR. MARK W CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(507) 532-3236
(507) 532-0240
Mailing address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(507) 532-3236
(507) 532-0240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4857
TX
1041C0700X
Clinical Social Worker
Primary
32645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164078101
—
TX
Enumeration date
12/20/2005
Last updated
04/03/2018
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