MR. Mark Gonchar, LASAC

NPI #1003399403 in Rimrock, Arizona

Provider Information

NPI Number: 1003399403
Entity Type: Individual
Name: MR. Mark Gonchar, LASAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LASAC
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 3095 E CORONADO TRL
City: Rimrock
State: Arizona
ZIP Code: 86335-5284
Phone: (928) 567-1322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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