Individual provider · Type 1 NPI

Mark Andrew Venckeleer

Mental Health Counselor · Colton, CA

NPI number 1245365402 Active

Practice location

1430 E Cooley Dr Ste 204
Colton, CA 92324-3944

Call (909) 433-0445 Map

Mailing address

35819 Ramada Ln
Yucaipa, CA 92399-4912

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245365402

Mark Andrew Venckeleer's National Provider Identifier is 1245365402, issued on Feb 21, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colton, CA. The record was last updated on Jul 8, 2007.