Individual provider · Type 1 NPI

Mark Ambrosious, COUNSELOR INTERN

Addiction (Substance Use Disorder) Counselor · Longview, TX

NPI number 1811268485 Active

Practice location

950 N 4th St
Longview, TX 75601-5436

Call (903) 758-0596 Map

Mailing address

PO Box 6800
Longview, TX 75608-6800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6598 (TX)

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

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About NPI 1811268485

Mark Ambrosious, COUNSELOR INTERN's National Provider Identifier is 1811268485, issued on Jan 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Jan 13, 2012.