Individual provider · Type 1 NPI

Mark Terrence McGruder

Addiction (Substance Use Disorder) Counselor · Hemet, CA

NPI number 1104507599 Active

Practice location

950 N State St Ste E
Hemet, CA 92543-1485

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104507599

Mark Terrence McGruder's National Provider Identifier is 1104507599, issued on Jul 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hemet, CA. The record was last updated on Jul 27, 2023.