Doctor Name: | MR. MARK WILMOT PROSSER |
NPI Number: | 1689786147 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.,L.P.C.,L.M.F.T. |
License Number: | 0701001291 |
Business Practice Address: | 820 University City Blvd Suite#1 Blacksburg, VA - 240602708 |
Business Phone Number: | 5409612380 |
Business Fax Number: | 5409613408 |
Mailing Address: | 820 University City Blvd, Suite#1 BLACKSBURG |
State: | VA |
Postal Code: | 240602708 |
Phone Number: | 5409612380 |
Fax Number: | 5409613408 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701001291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |