Provider Demographics
NPI:1265175384
Name:BILTON, MARK (LMHC)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:BILTON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARKS ST # 1C
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4838
Mailing Address - Country:US
Mailing Address - Phone:339-933-1617
Mailing Address - Fax:
Practice Address - Street 1:100 PARKS ST # 1C
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4838
Practice Address - Country:US
Practice Address - Phone:339-933-1617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5355101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health