| Doctor Name: | MARK WILLIAM HARES |
| NPI Number: | 1063432441 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LLP |
| License Number: | 6301009581 |
| Business Practice Address: | 200 W Spring St Marquette, MI - 498554630 |
| Business Phone Number: | 9062331236 |
| Business Fax Number: | 9062331235 |
| Mailing Address: | 2820 College Ave, ESCANABA |
| State: | MI |
| Postal Code: | 498299591 |
| Phone Number: | 9062331236 |
| Fax Number: | 9062331235 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6301009581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |