Individual provider · Type 1 NPI

Mark Anthony Gleason

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1386363307 Active

Practice location

419 Pennsylvania St
Vallejo, CA 94590-6933

Fax (707) 643-8536

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7453 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386363307

Mark Anthony Gleason's National Provider Identifier is 1386363307, issued on Aug 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Aug 23, 2022.