Individual
MARK WACHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
101 14TH ST NW, AUSTIN, MN 55912-4685
(507) 434-1903
(507) 434-1833
Mailing address
101 14TH ST NW, AUSTIN, MN 55912-4685
(507) 434-1903
(507) 434-1833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303155
MN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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