Ward, Mark Wilson

Ward, Mark Wilson is an individual health care provider with primary practice located at 730 E Spring Dr. , Toquerville UT 84774. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Ward, Mark Wilson can be contacted via phone (435) 635-0300.

Contact Information

Primary practice address
730 E Spring Dr. Toquerville UT 84774
Phone: (435) 635-0300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 8148314-3902 Utah

Profile Details

NPI number 1386912871
LBN Legal business name Ward, Mark Wilson
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2011
Last updated Jan 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386912871 NPPES
California MEDICAID 190077AHN

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