Individual provider · Type 1 NPI

Mark Kennedy Thuve

Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA

NPI number 1881739936 Active

Practice location

31764 Casino Dr Ste 200
Lake Elsinore, CA 92530-4571

Call (951) 471-4649 Map

Mailing address

2813 S Main St
Corona, CA 92882-5942

Other practice locations

  • 2813 S Main St, Corona, CA 92882-5942 · (951) 737-2962

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA052290218 (CA)

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

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About NPI 1881739936

Mark Kennedy Thuve's National Provider Identifier is 1881739936, issued on Feb 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Mar 4, 2020.