Individual provider · Type 1 NPI

Mark Walter Gruber I, LMHC, CAP

Mental Health Counselor · Pompano Beach, FL

NPI number 1194248112 Active

Practice location

100 E Sample Rd., #320
Pompano Beach, FL 33064

Call (754) 227-2431 Map

Mailing address

2996 NE 15th Ter
Oakland Park, FL 33334-4410

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11710 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1194248112

Mark Walter Gruber I, LMHC, CAP's National Provider Identifier is 1194248112, issued on Jul 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pompano Beach, FL. The record was last updated on Jul 21, 2017.