Individual provider · Type 1 NPI

Mark Hausknecht

Addiction (Substance Use Disorder) Counselor · Tarzana, CA

NPI number 1386214310 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Mailing address

21606 Devonshire St # 3772
Chatsworth, CA 91311-2901

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 1386214310

Mark Hausknecht's National Provider Identifier is 1386214310, issued on Jul 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tarzana, CA. The record was last updated on Jul 1, 2021.