MR. MARK WALLMAN SR., L.P.C., L.C.A.D.C.

Counselor - Professional

Active Individual
NPI: 1164676029

Practice Address

314 KELLY LN
Boonton, NJ 07005

Phone: (973) 334-6006

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 37PC00384900 (NJ)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 37LC00156700 (NJ)

Frequently Asked Questions

NPI 1164676029 is the National Provider Identifier for MR. MARK WALLMAN SR., L.P.C., L.C.A.D.C., a Counselor - Professional provider located in Boonton, NJ. This NPI was enumerated on November 5, 2008.
MR. MARK WALLMAN SR., L.P.C., L.C.A.D.C. practices at 314 KELLY LN, Boonton, NJ 07005.

Quick Facts

NPI
1164676029
Type
Individual
Enumerated
Nov 5, 2008
Last Updated
May 6, 2009

Nearby Providers