Wardlow, Mark Ernest

Wardlow, Mark Ernest is an individual health care provider with primary practice located at 1528 Highway H , Farmington MO 63640-7042. 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 / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wardlow, Mark Ernest can be contacted via phone (573) 915-4123.

Contact Information

Primary practice address
1528 Highway H Farmington MO 63640-7042
Phone: (573) 915-4123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5866 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2016014454 Missouri

Profile Details

NPI number 1942544630
LBN Legal business name Wardlow, Mark Ernest
Credentials MA, LPC, CCDP-D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Jun 22nd, 2020 - about 5 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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