IndividualActive
Mark Wiltbank
NPI 1013205152 · Counselor · Mona, UT
Provider details
- NPI number
- 1013205152
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
525 W. 200 N.
Mona, UT 84648
Phone: (435) 623-2825
Fax: (435) 623-2827
Approximate (ZIP-level) locationGet directions
Mailing address
619 N 500 W
Provo, UT 84601-1547
Registry dates
- Enumerated
- 2011-07-11
- Last updated
- 2011-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.