Individual provider · Type 1 NPI
Mark Ronald Kisner, MSW, CADC-II
Addiction (Substance Use Disorder) Counselor · Laguna Beach, CA
NPI number
1922257484
Active
Practice location
316 Thalia St
Laguna Beach, CA 92651-2714
Fax (949) 497-3687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RA851306 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1922257484
Mark Ronald Kisner, MSW, CADC-II's National Provider Identifier is 1922257484, issued on Sep 9, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Laguna Beach, CA. The record was last updated on Sep 9, 2008.