Mark Anthony Pishotta, MA, LCPC, NCC Valid NPI
Individual provider · Professional Counselor · Crystal Lake, IL
- NPI
- 1669605473
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180006250 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-08-26
- Last updated
- 2009-08-26
Practice location
24 Surrey Ln
Crystal Lake, IL 60014-7864
(847) 708-8656