Provider Demographics
NPI:1891002960
Name:WHELCHEL, MARK (MFT)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:WHELCHEL
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:WHELCHEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:2389C RENAISSANCE DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6701
Mailing Address - Country:US
Mailing Address - Phone:702-434-7290
Mailing Address - Fax:702-434-6940
Practice Address - Street 1:2389C RENAISSANCE DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6701
Practice Address - Country:US
Practice Address - Phone:702-434-7290
Practice Address - Fax:702-434-6940
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0952106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist