MR. MARK ALAN WIERSCHKE MS, LPC
NPI 1306067376
Counselor - Professional in La Crosse, WI
Active since May 01, 2007
About Mr. Mark Alan Wierschke Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK ALAN WIERSCHKE MS, LPC (NPI 1306067376) is an individual professional provider in La Crosse, Wisconsin, licensed in Wisconsin (3284-125) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1306067376
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK ALAN WIERSCHKECredential: MS, LPC
Location Address319 MAIN ST., SUITE 302La Crosse, WI 54601
Mailing Address490 Wagon Dr.West Salem, WI 54669 · (608) 786-4475
Phone(608) 796-1168
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306067376 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 3284-125
319 MAIN ST., La Crosse, WI 54601
Other Identifiers 1
Medicaid40960900WI
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306067376, enumerated as an "individual" on May 01, 2007.
The provider is located at 319 MAIN ST. SUITE 302 LA CROSSE, WI 54601 and the phone number is (608) 796-1168.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
