Individual provider · Type 1 NPI
Mark Gonchar, LASAC
Addiction (Substance Use Disorder) Counselor · Rimrock, AZ
NPI number
1003399403
Active
Practice location
3095 E Coronado Trl
Rimrock, AZ 86335-5284
Mailing address
PO Box 230
Rimrock, AZ 86335-0230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13156 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1003399403
Mark Gonchar, LASAC's National Provider Identifier is 1003399403, issued on Sep 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rimrock, AZ. The record was last updated on Sep 11, 2018.