Individual
MR. MARK JOSEPH MOHAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Contact information
Practice address
1271 WISCONSIN ST, B, LAKE GENEVA, WI 53147-1748
(262) 215-0826
Mailing address
1271 WISCONSIN ST, B, LAKE GENEVA, WI 53147-1748
(262) 215-0826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2019
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2019-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
7099-135
WI
1041C0700X
Clinical Social Worker
Primary
116-123
WI
1041C0700X
Clinical Social Worker
149.004395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10670
DEAN CARE
WI
01
—
137909000
MAGELLAN BID HEALTH
—
01
—
39269100
CENPATICO
WI
05
—
39269100
—
WI
01
—
60158
CIGNA
—
01
—
A917403
VALUE OPTIONS
—
Enumeration date
09/16/2005
Last updated
03/13/2013
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