MARK ERNEST WARDLOW

FARMINGTON, MO
NPI1942544630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2016014454)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  5866)
Enumeration Date2012-11-19
Last Update Date2020-06-22
Business Address
Mr. MARK ERNEST WARDLOW MA, LPC, CCDP-D
1528 HIGHWAY H
FARMINGTON, MO 63640-7042
Phone number: 573-915-4123
Mailing Address
Mr. MARK ERNEST WARDLOW MA, LPC, CCDP-D
1528 HIGHWAY H
FARMINGTON, MO 63640-7042
Phone number: 573-915-4123