Individual provider · Type 1 NPI

Mark Glenn Willoughby

Addiction (Substance Use Disorder) Counselor · El Monte, CA

NPI number 1174038756 Active

Practice location

3430 Cogswell Rd
El Monte, CA 91732-2785

Call (626) 453-3400 Map

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 1174038756

Mark Glenn Willoughby's National Provider Identifier is 1174038756, issued on Dec 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Monte, CA. The record was last updated on Dec 5, 2017.