Individual provider · Type 1 NPI
Mark Edmond Rierson, LAC
Specialist · San Diego, CA
NPI number
1376040923
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice locations
- 2333 1st Ave Ste 106, San Diego, CA 92101-1538 · (619) 786-8396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 9587 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1376040923
Mark Edmond Rierson, LAC's National Provider Identifier is 1376040923, issued on Apr 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Mar 30, 2023.